Most Relevant Information
Provider Data
| NPI Number: | 1003400136 |
| Provider Name: | JOHNEE MONIQUE LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2021 |
| Last Updated: | 03/01/2021 |
Provider Practice Location
3015 PARENTAL HOME RD
JACKSONVILLE
FL
322165768
Practice Location Phone/Fax
| Phone: | 9046524237 |
| Fax: | 9047248513 |
Provider Mailing Location
3015 PARENTAL HOME RD
JACKSONVILLE
FL
322165768
Provider Mailing Phone/Fax
| Phone: | 9046524237 |
| Fax: | 9047248513 |