Jacqueline Lewis, NP

NPI #1093263071 in Ellenwood, Georgia

Provider Information

NPI Number
1093263071
Entity Type
Individual
Name
Jacqueline Lewis, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Sep 19, 2016
Last Updated
Mar 19, 2025

Practice Location

Address
304 SUMMIT HEIGHTS CT STE 120
State
Georgia
ZIP Code
30294-2973
Phone
(404) 552-5128

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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