Individual provider · Type 1 NPI
Constance Jean Lewis, GNP
Gerontology Nurse Practitioner · Dallas, TX
NPI number
1053570069
Active
Practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
31 Colony Park Cir
Galveston, TX 77551-1737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 562644 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1053570069
Constance Jean Lewis, GNP's National Provider Identifier is 1053570069, issued on Jun 4, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Jun 4, 2008.