Provider Demographics
NPI:1184098147
Name:LAWS, JENNIFER C (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:C
Last Name:LAWS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2826
Mailing Address - Country:US
Mailing Address - Phone:931-270-0050
Mailing Address - Fax:931-270-0052
Practice Address - Street 1:335 1ST AVE N
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2826
Practice Address - Country:US
Practice Address - Phone:931-270-0050
Practice Address - Fax:931-388-9540
Is Sole Proprietor?:No
Enumeration Date:2015-11-13
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily