Healthcare Provider Details

I. General information

NPI: 1922308683
Provider Name (Legal Business Name): CHRISTY LEWIS AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2010
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 ENTERPRISE PKWY STE 1400
HAMPTON VA
23666-6251
US

IV. Provider business mailing address

856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS VA
23601-1318
US

V. Phone/Fax

Practice location:
  • Phone: 757-637-7500
  • Fax: 757-637-7541
Mailing address:
  • Phone: 757-316-5800
  • Fax: 757-534-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024193190
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: