Lewis, Annette

Lewis, Annette is an individual health care provider with primary practice located at 234 W Central Ave , Jamestown TN 38556-3405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lewis, Annette can be contacted via phone (931) 879-8139.

Contact Information

Primary practice address
234 W Central Ave Jamestown TN 38556-3405
Phone: (931) 879-8139
Fax: (931) 879-0221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN58717 Tennessee

Profile Details

NPI number 1164488144
LBN Legal business name Lewis, Annette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 27th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164488144 NPPES
Tennessee MEDICAID 3901196

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