Healthcare Provider Details

I. General information

NPI: 1548822554
Provider Name (Legal Business Name): JAMIE LAWSON PELAEZ CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 S FRENCH BROAD AVE
ASHEVILLE NC
28801-4364
US

IV. Provider business mailing address

1335 OLD GRAY STATION RD
JOHNSON CITY TN
37615-3713
US

V. Phone/Fax

Practice location:
  • Phone: 828-970-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024177771
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: