Individual
BRENT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1263 US HIGHWAY 45 BYP N, TRENTON, TN 38382-4006
(731) 642-0521
Mailing address
408 VIRGINIA ST, PO BOX 30, PARIS, TN 38242-5341
(731) 642-0521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000020059
TN
Other
Enumeration date
08/19/2015
Last updated
02/05/2019
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