Provider Demographics
NPI:1689209926
Name:JNO LEWIS, SIERRA KEANN (RN)
Entity Type:Individual
Prefix:MISS
First Name:SIERRA
Middle Name:KEANN
Last Name:JNO LEWIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 303437
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-3437
Mailing Address - Country:US
Mailing Address - Phone:340-677-9049
Mailing Address - Fax:
Practice Address - Street 1:INSIGHT PSYCHOLOGICAL SERVICES
Practice Address - Street 2:9151 ESTATE THOMAS, SUITE 204
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI12873163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health