Sharon Denise Lewis, LPN
Individual provider Active NPI Licensed Practical Nurse · Mertidian, MS
NPI 1306020573 · NPPES record last updated Dec 24, 2007
Key facts
- NPI
- 1306020573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- P142948 (MS)
- Practice address
- 303 B Street
Mertidian, MS 39301 - Phone
- (601) 880-3120
- Fax
- (601) 482-5061
- NPI assigned
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P142948 | MS | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P142948 | MS | Yes |
Addresses
Primary practice location
303 B Street
Mertidian, MS 39301
Mailing address
303 B Street
Mertidian, MS 39301
Phone (601) 880-3120
Other names
- Mrs. Sharon Lewis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.