Individual provider · Type 1 NPI

Jackie Lewis

Licensed Practical Nurse · Corvallis, OR

NPI number 1194178988 Active

Practice location

530 NW 27th St
Corvallis, OR 97330-5223

Call (541) 766-6835 Map

Fax (541) 766-6186

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201406819LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1194178988

Jackie Lewis's National Provider Identifier is 1194178988, issued on Jul 18, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Corvallis, OR. The record was last updated on Jul 18, 2016.