Individual provider · Type 1 NPI

Siohban Nicole Lewis, FNP-C

Family Nurse Practitioner · Conyers, GA

NPI number 1114759032 Active

Practice location

1368 Wellbrook Cir NE Ste A
Conyers, GA 30012-3980

Call (770) 247-3378 Map

Fax (770) 274-3489

Mailing address

1804 Colonial South Dr SW
Conyers, GA 30094-4232

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN254594 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114759032

Siohban Nicole Lewis, FNP-C's National Provider Identifier is 1114759032, issued on Aug 19, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Conyers, GA. The record was last updated on Feb 26, 2026.