JENNIFER ASHLEY LEWIS NP NPI 1780911636

NPI Information

  • NPI: 1780911636
  • Provider Name: JENNIFER ASHLEY LEWIS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 NORTH STATE STREET
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-5104

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NPI Details

Jennifer Ashley Lewis, NP is a family nurse practitioner in Jackson, MS with 17 years of experience. Jennifer Ashley Lewis, NP NPI is 1780911636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

2500 NORTH STATE STREET
JACKSON, MS
ZIP 39216
Phone: (601) 984-5104

The NPI 1780911636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2009 and was last updated on 10/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyR860115MISSISSIPPINo
2363LF0000XNurse PractitionerFamilyR860115MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100803385MEDICAIDMISSISSIPPI
2302I509597MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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