Individual
JACQUELINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
304 SUMMIT HEIGHTS CT STE 120, ELLENWOOD, GA 30294-2973
(404) 552-5128
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 773-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN172074
GA
363LA2200X
Adult Health Nurse Practitioner
APRN-NP172074
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP172074
GA
Other
Enumeration date
09/19/2016
Last updated
05/05/2026
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