Individual
KRISTIN LEWIS STORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2 SHIRCLIFF WAY STE 300&400, JACKSONVILLE, FL 32204-4753
(904) 388-1820
(904) 388-1827
Mailing address
2 SHIRCLIFF WAY STE 300&400, JACKSONVILLE, FL 32204-4753
(904) 388-1820
(904) 388-1827
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9246928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002587400
—
FL
01
—
P01070656
RR MEDICARE
FL
Enumeration date
07/19/2010
Last updated
04/23/2026
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