IndividualActive
Jacqueline Lewis, RN
NPI 1104943810 · Nursing Home Administrator · Eden, NC
Provider details
- NPI number
- 1104943810
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- FCL-079-056 (NC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
197 E Aiken Rd
Eden, NC 27288-2201
Phone: (336) 623-7715
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1115
Reidsville, NC 27323-1115
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.