Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY R LEWIS
Active Sole ProprietorJIMMY R LEWIS is a Skilled Nursing Facility healthcare provider located in MEDINA, Tennessee. NPI 1730831363 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · MEDINA, TN
Registration Details
- NPI Number
- 1730831363
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2022 (4.5181775162716 yrs)
- Last Updated
- Jan 25, 2022
- License
-
0000000308 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 PROMISE WAY LNMEDINA, TN, 383556967Browse TN providers · Browse ZIP 38355
- Phone
- 7314620020
- Fax
- 7314353638
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.