Provider Demographics
NPI:1689435240
Name:LAWSON, AMY PARKER (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:PARKER
Last Name:LAWSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2891 TRICOM ST STE C
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-7110
Mailing Address - Country:US
Mailing Address - Phone:843-637-4173
Mailing Address - Fax:843-654-1260
Practice Address - Street 1:2891 TRICOM ST STE C
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-7110
Practice Address - Country:US
Practice Address - Phone:843-637-4173
Practice Address - Fax:843-654-1260
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28287363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care