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Equilla Rena Lewis, NP
Family Nurse Practitioner in Fayetteville, North Carolina
NPI 1770206591

Equilla Rena Lewis is a Family Nurse Practitioner based in Fayetteville, NC and is specialized in Family. Equilla Rena Lewis practices in Fayetteville, NC and has the professional credentials of NP. The NPI Number for Equilla Rena Lewis is 1770206591 and holds a License No. 5017121 (North Carolina).

The current practice location address for Equilla Rena Lewis is 103 Country Club Dr, Fayetteville, NC and can be reached out via phone at 910-400-7002.

Location: 103 Country Club Dr, Fayetteville, NC, 28301-7603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770206591
Provider Name
Equilla Rena Lewis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
103 Country Club Dr, Fayetteville, NC, 28301-7603
Phone Number
910-400-7002
Fax Number
Provider Enumeration Date
09/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
103 Country Club Dr
City
Fayetteville
State
North Carolina
Zip
28301-7603
Phone Number
910-400-7002
Fax Number
person
Provider Business Mailing Address Details
Address
103 Country Club Dr
City
Fayetteville
State
North Carolina
Zip
28301-7603
Phone Number
910-400-7002
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5017121 (North Carolina)
Definition
Definition to come...
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