Individual
JENNIFER ROSANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
118 E HASKELL ST, WINNEMUCCA, NV 89445-3247
(775) 623-5222
Mailing address
8650 MEMORY LN, WINNEMUCCA, NV 89445-6661
(775) 403-3247
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
821055
NV
376K00000X
Nurse's Aide
Primary
CNA032875
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821055
STATE BOARD OF NURSING NEVADA REGISTERED NURSE
NV
01
—
CNA032875
STATE BOARD OF NURSING
NV
Enumeration date
02/17/2019
Last updated
06/20/2022
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