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NPI Code Detail

MEDICARE: JODI ANN LEWIS CRNP

MEDICARE: JODI ANN LEWIS CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP029263PA

General Provider Information

NPI Number : 1194589101
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI ANN LEWIS CRNP
Provider Business Mailing Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Provider Business Practice Location Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2024
Last Update Date : 04/08/2026

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