Provider Demographics
NPI:1609156256
Name:LEWIS, JENNIFER E (DNP APRN CNP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:E
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DNP APRN CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NE 10TH ST STE 5F
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5417
Mailing Address - Country:US
Mailing Address - Phone:405-271-8156
Mailing Address - Fax:405-271-6219
Practice Address - Street 1:825 NE 10TH ST
Practice Address - Street 2:STE 5400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-8156
Practice Address - Fax:405-271-9358
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK84880363L00000X
OKR0084880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily