Individual
JADA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 DALLAS HWY SW STE 340, MARIETTA, GA 30064-7518
(678) 797-9800
Mailing address
2655 DALLAS HWY SW STE 340, MARIETTA, GA 30064-7518
(404) 785-3529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN287253
GA
363LF0000X
Family Nurse Practitioner
Primary
RN287253
GA
Other
Enumeration date
04/17/2023
Last updated
02/07/2025
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