Gwendolyn Jeanette Lewis
Nurse Practitioner - Neonatal (Critical Care)
1200 Memorial Dr
Dalton
, Georgia 30720-2529
Gwendolyn Jeanette Lewis
Nurse Practitioner - Neonatal (Critical Care)
1200 Memorial Dr
Dalton
, Georgia 30720-2529
(423) 648-5675
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Gwendolyn Jeanette Lewis
- 902 Mccallie Ave
- Chattanooga, TN
- Zip : 37403-2724
- Fax : (423) 648-5675
- Phone : (423) 664-4460
Second Address
- Gwendolyn Jeanette Lewis
- 1200 Memorial Dr
- Dalton, GA
- Zip : 30720-2529
- Fax : (423) 648-5675
- Phone : (423) 664-4460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN120677 | GA |
National Provider Identifier
| NPI | 1184995102 |
|---|---|
| Provider Name | Gwendolyn Jeanette Lewis |
| First Address | Chattanooga, TN 37403-2724 |
| Second Address | Dalton, GA 30720-2529 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2012 |
| Last Update Date | 23/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RN126077 | LICENSE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.