IndividualActive
Ellen Lewis, APRN
NPI 1992979793 · Gerontology Nurse Practitioner · Loganville, GA
Provider details
- NPI number
- 1992979793
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN116778 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
367 Athens Hwy
Ste 1050
Loganville, GA 30052-2204
Phone: (770) 554-2999
Approximate (ZIP-level) locationGet directions
Mailing address
1540 Runnymede Ct Sw
Lilburn, GA 30047-3300
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2014-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.