Individual
MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2015 GRANT PL, MELBOURNE, FL 32901-5600
(772) 492-6394
(709) 400-7957
Mailing address
255 DRYDEN CIR, COCOA, FL 32926-2481
(321) 536-9089
(321) 978-9280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2874472
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2874472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306995800
—
FL
Enumeration date
04/20/2006
Last updated
05/11/2025
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