NPI 1104943810

Jacqueline Lenore Lewis, RN

Practitioner Nursing Home Administrator Eden, NC

Practice location

Address: 197 E Aiken Rd, Eden, NC 27288-2201
Phone: (336) 623-7715
Mailing address: PO Box 1115, Reidsville, NC 27323-1115

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence FCL-079-056 (NC)

Other Nursing Home Administrator providers in North Carolina →

Registry record

NPI: 1104943810
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.