Lewis, Terrilyn

Lewis, Terrilyn is an individual health care provider with primary practice located at 405 Marion Ave , Mccomb MS 39648-2709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Terrilyn can be contacted via phone (601) 684-1250.

Contact Information

Primary practice address
405 Marion Ave Mccomb MS 39648-2709
Phone: (601) 684-1250
Fax: (601) 684-0129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R853385 Mississippi

Profile Details

NPI number 1881797330
LBN Legal business name Lewis, Terrilyn
Credentials NP-C, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Nov 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881797330 NPPES
Mississippi MEDICAID 08025742

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