Individual
NIKIYA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BRAMPTON AVE, STATESBORO, GA 30458-0851
(912) 871-6206
(912) 681-8558
Mailing address
1310 BRAMPTON AVE, STATESBORO, GA 30458-0851
(912) 871-6206
(912) 681-8558
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN184063NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114992B
—
GA
01
—
1700161072
NPI
—
01
—
RN184063NP
GA LICENSE
GA
Enumeration date
10/18/2011
Last updated
12/31/2025
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