Individual provider · Type 1 NPI

Stacie S. Lewis, NP

Adult Health Nurse Practitioner · Mcdonough, GA

NPI number 1316418692 Active

Practice location

384 Racetrack Rd
Mcdonough, GA 30252-1022

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XRN201620 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XRN201620 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1316418692

Stacie S. Lewis, NP's National Provider Identifier is 1316418692, issued on Dec 11, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mcdonough, GA. The record was last updated on Dec 11, 2018.