Individual provider · Type 1 NPI

Gwendolyn Jeanette Lewis, NP

Critical Care Neonatal Nurse Practitioner · Dalton, GA

NPI number 1184995102 Active

Practice location

1200 Memorial Dr
Dalton, GA 30720-2529

Fax (423) 648-5675

Mailing address

902 Mccallie Ave
Chattanooga, TN 37403-2724

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XRN120677 (GA)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1184995102

Gwendolyn Jeanette Lewis, NP's National Provider Identifier is 1184995102, issued on Jan 23, 2012. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Dalton, GA. The record was last updated on Jan 23, 2012.