Individual provider · Type 1 NPI

Kelly A. Lewis, FNP

Nurse Practitioner · St. Clair Shores, MI

NPI number 1942759543 Active

Practice location

19714 E 10 Mile Rd
St. Clair Shores, MI 48080-1064

Other practice locations

  • 46591 Romeo Plank Rd Ste 225, Macomb, MI 48044-5743 · (586) 226-6155

Specialties and licenses

TaxonomyCodeLicense
Midwife 176B00000X4704271476 (MI)
Advanced Practice Midwife 367A00000X4704271476 (MI)
Nurse Practitioner Primary 363L00000X4704271476 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

10 other providers at this address

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About NPI 1942759543

Kelly A. Lewis, FNP's National Provider Identifier is 1942759543, issued on Sep 25, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Mar 3, 2025.