Healthcare Provider Details

I. General information

NPI: 1730856238
Provider Name (Legal Business Name): ASHLEY LEWIS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 S ORANGE AVE STE 1830
ORLANDO FL
32801-3261
US

IV. Provider business mailing address

189 S ORANGE AVE STE 1830
ORLANDO FL
32801-3261
US

V. Phone/Fax

Practice location:
  • Phone: 407-777-2022
  • Fax:
Mailing address:
  • Phone: 407-777-2022
  • Fax: 407-942-8996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11014578
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: