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NPI Code Detail

MEDICARE: MRS. JENNIFER PYATT LAWSON RN

MEDICARE: MRS. JENNIFER PYATT LAWSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseRN0000136881TN

General Provider Information

NPI Number : 1497978647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER PYATT LAWSON RN
Provider Business Mailing Address
First Line : 3365 NOTTINGHAM CIR SE
Second Line :
City : CLEVELAND
State : TN
Zip : 37323-6100
Country : US
Telephone Number : 423-718-5874
Fax Number :
Provider Business Practice Location Address
First Line : 5520 HIGH ST
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363-8131
Country : US
Telephone Number : 423-238-4269
Fax Number : 423-238-5910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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