Provider Demographics
NPI:1205687431
Name:LEWIS-COMISSIONG, ARNELLE L (RN)
Entity type:Individual
Prefix:MRS
First Name:ARNELLE
Middle Name:L
Last Name:LEWIS-COMISSIONG
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 9401
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-2401
Mailing Address - Country:US
Mailing Address - Phone:340-998-4668
Mailing Address - Fax:
Practice Address - Street 1:9149 ESTATE THOMAS STE 302
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-3133
Practice Address - Country:US
Practice Address - Phone:340-998-4668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI9352163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty