AUDRA BLYE LEWIS

MEMPHIS, TN
NPI1063882280
Former NameAUDRA BUTLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R881185)
Enumeration Date2015-09-30
Last Update Date2018-07-25
Business Address
-- AUDRA BLYE LEWIS NP
2714 UNION EXTD SUITE 150
MEMPHIS, TN 38112-4431
Phone number: 901-725-0872
Mailing Address
-- AUDRA BLYE LEWIS NP
100 TRACE CV
SENATOBIA, MS 38668-4180
Phone number: 901-240-0438
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