JERRY WAYNE LEWIS

LONDON, KY
NPI1720718620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KY  3017921)
Enumeration Date2022-06-14
Last Update Date2022-06-14
Business Address
JERRY WAYNE LEWIS APRN PMHNP-BC
103 SYCAMORE ST
LONDON, KY 40741-1740
Phone number: 606-312-4761
Mailing Address
JERRY WAYNE LEWIS APRN PMHNP-BC
103 SYCAMORE ST
LONDON, KY 40741-1740
Phone number: 606-312-0779
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