Individual provider · Type 1 NPI
Courtney Shanay Lewis
Gerontology Nurse Practitioner · Atlanta, GA
NPI number
1154265239
Active
Practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
2588 Decatur Village Dr Apt 1630
Decatur, GA 30033-5494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | NP217426 (GA) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | RN217426 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1154265239
Courtney Shanay Lewis's National Provider Identifier is 1154265239, issued on Apr 17, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on Aug 6, 2026.