Provider Demographics
NPI:1497978647
Name:LAWSON, JENNIFER PYATT (RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:PYATT
Last Name:LAWSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3365 NOTTINGHAM CIR SE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-6100
Mailing Address - Country:US
Mailing Address - Phone:423-718-5874
Mailing Address - Fax:
Practice Address - Street 1:5520 HIGH ST
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8131
Practice Address - Country:US
Practice Address - Phone:423-238-4269
Practice Address - Fax:423-238-5910
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000136881163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health