| Jessica Anne Lewis, FNP-C | |
|
415 6th St, Lewiston, ID 83501 | |
| (208) 750-7445 | |
| (208) 750-7395 |
| Full Name | Jessica Anne Lewis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245098755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 35472 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 78877 (Idaho) | Primary |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Anne Lewis, FNP-C 415 6th Street, Attn: Physician Services, Lewiston, ID 83501-2434 Ph: (208) 750-7462 | Jessica Anne Lewis, FNP-C 415 6th St, Lewiston, ID 83501 Ph: (208) 750-7445 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Mrs. Lynzee Brooke Hewett, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 Southway Ave Ste C, Lewiston, ID 83501 Phone: 208-503-2326 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 |