Doctor Name: | PATRICIA LEWIS |
NPI Number: | 1033568431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 901453 |
Business Practice Address: | 1124 Oakleigh Rd Ocean Springs, MS - 395645716 |
Business Phone Number: | 2288753778 |
Business Fax Number: | |
Mailing Address: | 1124 Oakleigh Rd, OCEAN SPRINGS |
State: | MS |
Postal Code: | 395645716 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/07/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 901453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |