Lewis, Nicole Marie

Lewis, Nicole Marie is an individual health care provider with primary practice located at 602 S 42Nd St , Mount Vernon IL 62864-6264. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lewis, Nicole Marie can be contacted via phone (618) 899-3278.

Contact Information

Primary practice address
602 S 42Nd St Mount Vernon IL 62864-6264
Phone: (618) 899-3278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209016310 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209016310 Illinois

Profile Details

NPI number 1982123899
LBN Legal business name Lewis, Nicole Marie
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Oct 20th, 2020 - about 4 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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