Individual
NICOLE KRISTINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP PMHNP
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3605
Mailing address
77 FOREST AVE, LAKE MILTON, OH 44429-9521
(330) 314-2919
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027193
OH
Other
Enumeration date
07/24/2020
Last updated
01/22/2024
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