Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Lewis, NP

Individual provider Nurse Practitioner · NPI 1093263071

Jacqueline Lewis, NP is a Nurse Practitioner in Ellenwood, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

304 Summit Heights Ct Ste 120
Ellenwood, GA 30294-2973
Phone: (404) 552-5128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2732 Candler Rd, Decatur, GA 30034-1410 — (470) 444-3133

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP172074 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN172074 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN-NP172074 (GA)

Record details

NPI number1093263071
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 19, 2016
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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