Lewis, Jacqueline

Lewis, Jacqueline is an sole proprietor health care provider with primary practice located at 304 Summit Heights Ct Ste 120 , Ellenwood GA 30294-2973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lewis, Jacqueline can be contacted via phone (404) 552-5128.

Contact Information

Primary practice address
304 Summit Heights Ct Ste 120 Ellenwood GA 30294-2973
Phone: (404) 552-5128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN172074 Georgia

Profile Details

NPI number 1093263071
LBN Legal business name Lewis, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2016
Last updated Feb 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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