Lewis, Julie Jackson

Lewis, Julie Jackson is an individual health care provider with primary practice located at 5353 Reynolds St , Savannah GA 31405-6015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lewis, Julie Jackson can be contacted via phone (912) 819-6000.

Contact Information

Primary practice address
5353 Reynolds St Savannah GA 31405-6015
Phone: (912) 819-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP128105 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN176488 Georgia

Profile Details

NPI number 1821363060
LBN Legal business name Lewis, Julie Jackson
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Oct 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821363060 NPPES
Texas MEDICAID 369098403
Texas MEDICAID 369098404

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