Healthcare Provider Details

I. General information

NPI: 1851593107
Provider Name (Legal Business Name): THRESA D. LAWSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 GALE LN SILOAM FAMILY HEALTH CENTER
NASHVILLE TN
37204-3012
US

IV. Provider business mailing address

820 GALE LN SILOAM FAMILY HEALTH CENTER
NASHVILLE TN
37204-3012
US

V. Phone/Fax

Practice location:
  • Phone: 615-298-5406
  • Fax: 615-577-4010
Mailing address:
  • Phone: 615-298-5406
  • Fax: 615-577-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN 000000 6868
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: