Provider Demographics
NPI:1578781753
Name:LEWIS, JOY MABE (WHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:MABE
Last Name:LEWIS
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Gender:F
Credentials:WHNP-BC
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Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:HIGHWAY 491 NORTHERN NAVAJO MEDICAL CENTER
Mailing Address - City:SHIPROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87420-0160
Mailing Address - Country:US
Mailing Address - Phone:505-368-6315
Mailing Address - Fax:505-368-6324
Practice Address - Street 1:HIGHWAY 491
Practice Address - Street 2:NORTHERN NAVAJO MEDICAL CENTER
Practice Address - City:SHIPROCK
Practice Address - State:NM
Practice Address - Zip Code:87420-0160
Practice Address - Country:US
Practice Address - Phone:505-368-6315
Practice Address - Fax:505-368-6324
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2013-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0001055912163WW0101X
VA0024055912363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory