Nicole Marie Lewis, DNP, FNP-BC
Nurse Practitioner, Family in Mount Vernon, IL. Individual provider (NPI-1).
NPI number1982123899
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1982123899
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Lewis
- Credential
- DNP, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2017
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209016310 | IL | Yes |
| 363L00000X | Nurse Practitioner | 209016310 | IL |
Other names
- Nicole Marie Hillman (Former Name)
Practice location
602 S 42nd StMount Vernon, IL 62864-6264
Phone 618-899-3278
Mailing address
Po Box 955860Saint Louis, MO 63195-1236
Phone 636-498-5944
Other practice locations
8601 N Kentucky Ave Ste J
Evansville, IN 47725-6371
Evansville, IN 47725-6371
Phone 888-492-8722
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