Individual
TENNIE CLARICE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3439 NEW HWY 68, MADISONVILLE, TN 37354
(423) 442-3993
Mailing address
137 UPHILL DR, MADISONVILLE, TN 37354-5991
(423) 442-1235
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000105648
TN
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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