Provider Demographics
NPI:1306062443
Name:LEWIS, JENNIFER L (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BRAMLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 GALLATIN PIKE S
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-3917
Mailing Address - Country:US
Mailing Address - Phone:615-865-3937
Mailing Address - Fax:615-612-1804
Practice Address - Street 1:200 GALLATIN PIKE S
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-3917
Practice Address - Country:US
Practice Address - Phone:615-865-3937
Practice Address - Fax:615-612-1804
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist