Individual provider · Type 1 NPI
Judith G. Lewallen, FNP
Family Nurse Practitioner · Pineville, MO
NPI number
1093715740
Active
Practice location
100 Jessie James Blvd
Pineville, MO 64856
Fax (417) 223-7055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 1028 (AK) |
| Family Nurse Practitioner | 363LF0000X | 085477 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | A03622 (AR) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Pineville
About NPI 1093715740
Judith G. Lewallen, FNP's National Provider Identifier is 1093715740, issued on Jul 22, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pineville, MO. The record was last updated on Oct 26, 2012.