Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Lee Lewis Jr.

Individual provider Case Manager/Care Coordinator · NPI 1730878018

Jackie Lee Lewis Jr. is a Case Manager/Care Coordinator in Bainbridge, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Phone: (740) 634-3094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1730878018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

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