Provider Demographics
NPI:1801444559
Name:LEWIS, DEE DEMETRIUS (MSN, APRN)
Entity type:Individual
Prefix:MS
First Name:DEE
Middle Name:DEMETRIUS
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN
Mailing Address - Street 1:2015 NE 12TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-4734
Mailing Address - Country:US
Mailing Address - Phone:850-272-1631
Mailing Address - Fax:
Practice Address - Street 1:2015 NE 12TH PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4734
Practice Address - Country:US
Practice Address - Phone:850-272-1631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003516363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily