Judith G Lewallen in Pineville - Nurse Practitioner

Judith G Lewallen - NPI 1093715740

Judith G Lewallen is a Nurse Practitioner in Pineville, Missouri. Judith G Lewallen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Judith G Lewallen is 1093715740. The last update date is 2012-10-26.

Judith G Lewallen's current location address is 100 Jessie James Blvd, Pineville, Missouri. You can contact this provider via phone number 4172237050 and fax number 4172237055. The mailing address for Judith G Lewallen is 100 Jessie James Blvd, Pineville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith G Lewallen
Address 100 Jessie James Blvd, Pineville, Missouri
Phone Number 4172237050
Fax Number 4172237055
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1093715740
Provider Enumeration Date 2005-07-22
Last Updated Date 2012-10-26

Provider Mailing Address Detail

Address 100 Jessie James Blvd
City Pineville
State Missouri (MO)
Post Code 64856
Phone Number 4172237050
Fax Number 4172237055

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 1028
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Judith G Lewallen

What is the unique 10-digit identification code issued to Judith G Lewallen by the Centers for Medicare & Medicaid Services?

The Judith G Lewallen has been assigned the NPI (National Provider Identifier) 1093715740 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Judith G Lewallen's facilities are situated?

The facilities of Judith G Lewallen are physically located at the following address: 100 Jessie James Blvd, Pineville, MO, 64856.

What is Judith G Lewallen's area of expertise and its corresponding taxonomy classification?

The Judith G Lewallen's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Judith G Lewallen receive its 1093715740 assignment from the Centers for Medicare & Medicaid Services?

The Judith G Lewallen was assigned its 1093715740 by the Centers for Medicare & Medicaid Services on 2005-07-22.

As of what date was the information pertaining to Judith G Lewallen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Judith G Lewallen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-26.

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