Individual
JENNIFER RENEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112
(334) 953-3368
(334) 953-8607
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-3368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1441
AL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/02/2017
Last updated
12/09/2024
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