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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUDITH G LEWALLEN, FNP

Active

JUDITH G LEWALLEN, FNP is a Family Nurse Practitioner healthcare provider located in PINEVILLE, Missouri. NPI 1093715740 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PINEVILLE, MO

Registration Details

NPI Number
1093715740
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2005 (21.055598548564 yrs)
Last Updated
Oct 26, 2012
Licenses
1028 (AK)
085477 (MO)
A03622 (AR)

Practice Information

Address
100 JESSIE JAMES BLVD
PINEVILLE, MO, 64856
Browse MO providers · Browse ZIP 64856
Phone
4172237050
Fax
4172237055
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in PINEVILLE, MO

Name Credential NPI
TERESA N RANDOLPH APRN 1326071176
JILL ROGERS 1851744718
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.