Individual provider · Type 1 NPI

Lajarvis Antwon Lewis, FNP

Family Nurse Practitioner · Ruleville, MS

NPI number 1487271201 Active

Practice location

840 N Oak Ave
Ruleville, MS 38771-3227

Mailing address

PO Box 4187
Cleveland, MS 38732-5287

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903985 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1487271201

Lajarvis Antwon Lewis, FNP's National Provider Identifier is 1487271201, issued on Jun 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ruleville, MS. The record was last updated on Jun 26, 2020.