Individual provider · Type 1 NPI
Jacqueline Lenore Lewis, RN
Nursing Home Administrator · Eden, NC
NPI number
1104943810
Active
Practice location
197 E Aiken Rd
Eden, NC 27288-2201
Mailing address
PO Box 1115
Reidsville, NC 27323-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | FCL-079-056 (NC) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1104943810
Jacqueline Lenore Lewis, RN's National Provider Identifier is 1104943810, issued on Mar 26, 2007. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Eden, NC. The record was last updated on Jul 8, 2007.