Jordan-Lewis, Beth Nichole

Jordan-Lewis, Beth Nichole is an individual health care provider with primary practice located at 980 Milwaukee Ave , Dunedin FL 34698-7072. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Jordan-Lewis, Beth Nichole can be contacted via phone (727) 733-4610.

Contact Information

Primary practice address
980 Milwaukee Ave Dunedin FL 34698-7072
Fax:
Website:

Profile Details

NPI number 1376601351
LBN Legal business name Jordan-Lewis, Beth Nichole
Credentials CRNA, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 21st, 2022 - about 2 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 1376601351 NPPES
Tennessee MEDICAID 3636462
Tennessee Other 4117686
Tennessee Other P00441410

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