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Jacqueline Lenore Lewis, RN
Nursing Home Administrator in Eden, North Carolina
NPI 1104943810

Jacqueline Lenore Lewis is a Nursing Home Administrator based in Reidsville, NC. Jacqueline Lenore Lewis practices in Eden, NC and has the professional credentials of RN. The NPI Number for Jacqueline Lenore Lewis is 1104943810 and holds a License No. FCL-079-056 (North Carolina).

The current practice location address for Jacqueline Lenore Lewis is 197 E Aiken Rd, Eden, NC and can be reached out via phone at 336-623-7715.

Location: 197 E Aiken Rd, Eden, NC, 27323-1115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104943810
Provider Name
Jacqueline Lenore Lewis
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
197 E Aiken Rd, Eden, NC, 27323-1115
Phone Number
336-623-7715
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
197 E Aiken Rd
City
Eden
State
North Carolina
Zip
27288-2201
Phone Number
336-623-7715
Fax Number
person
Provider Business Mailing Address Details
Address
197 E Aiken Rd
City
Eden
State
North Carolina
Zip
27288-2201
Phone Number
336-623-7715
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
FCL-079-056 (North Carolina)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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