Individual ProviderJolyssa LewisRegistered NurseNursing Service ProvidersPractice Address42 N Main St, Spring Valley, NY 10977-4906(844) 828-2666PECOS EnrollmentBased on the most recent information from CMS, provider Jolyssa Lewis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1144922568Provider TypeIndividualFull NameLewis, JolyssaGenderFemaleSole ProprietorYesEnumeration Date3/20/2023Last Updated3/20/2023Contact InformationPractice LocationPractice Address42 N Main St, Spring Valley, NY 10977-4906Phone(844) 828-2666FaxUnlisted FaxMailing LocationMailing Address15 Edgewood Dr, Central Valley, NY 10917-5018PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense840821New York