National Provider Identifier Database

JACQUELINE L LEWIS, RN – NPI #1104943810
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

JACQUELINE L LEWIS, RN
197 E AIKEN RD
EDEN, NC27288-2201
Phone: 336-623-7715
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for JACQUELINE L LEWIS

NPI Number 1104943810
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: FCL-079-056
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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