Individual
ANNETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 W CENTRAL AVE, JAMESTOWN, TN 38556-3405
(931) 879-8139
(931) 879-0221
Mailing address
PO BOX 1168, JAMESTOWN, TN 38556-1168
(931) 879-8139
(931) 879-0221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN58717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901196
—
TN
Enumeration date
04/26/2006
Last updated
08/27/2007
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