Whalio Doctors

NPI 1053010256

Jeffrey Thomas Lewis, PAC

Practitioner Physician Assistant Powell, TN

Practice location

Address
7680 Dannaher Dr., Powell, TN 37849-4052
Phone
(865) 521-8050
Fax
(865) 544-5816
Mailing address
7121 Regal Ln Suite 200a, Knoxville, TN 37918-5804

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA6077 (TN)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence MA064392 (PA)

Registry record

NPI
1053010256
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Feb 2023
Record last updated
25 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.