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NPI Code Detail

MEDICARE: JENNIFER LEWIS

MEDICARE: JENNIFER LEWIS
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1609724194
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEWIS
Provider Business Mailing Address
First Line : 3530 NE OLD BELFAIR HWY STE 34
Second Line :
City : BELFAIR
State : WA
Zip : 98528-9646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7556 HONEYSUCKLE
Second Line :
City : TEMPLE
State : TX
Zip : 76502-5631
Country : US
Telephone Number : 254-742-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ JENNIFER LEWIS ” Practice Location

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