Individual provider · Type 1 NPI

Jacqueline Lewis, NP

Family Nurse Practitioner · Ellenwood, GA

NPI number 1093263071 Active

Practice location

304 Summit Heights Ct Ste 120
Ellenwood, GA 30294-2973

Call (404) 552-5128 Map

Mailing address

PO Box 740015
Atlanta, GA 30374-0015

Other practice locations

  • 2732 Candler Rd, Decatur, GA 30034-1410 · (470) 444-3133

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN172074 (GA)
Family Nurse Practitioner Primary 363LF0000XAPRN-NP172074 (GA)
Adult Health Nurse Practitioner 363LA2200XAPRN-NP172074 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1093263071

Jacqueline Lewis, NP's National Provider Identifier is 1093263071, issued on Sep 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellenwood, GA. The record was last updated on May 5, 2026.