Individual provider · Type 1 NPI
Jayme Lynn Lewallen
Critical Care Medicine Registered Nurse · Sonora, CA
NPI number
1710896014
Active
Practice location
16933 Prairie Dog Dr
Sonora, CA 95370-9723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 95469378 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
About NPI 1710896014
Jayme Lynn Lewallen's National Provider Identifier is 1710896014, issued on Sep 2, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Sonora, CA. The record was last updated on Sep 2, 2026.