MEDICARE: MICHAELA CLAWSON

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
1	163W00000X	Registered Nurse	237437	TN
2	363L00000X	Nurse Practitioner	29859	TN
3	363LF0000X	Family Nurse Practitioner	29859	TN

General Provider Information

NPI Number	:	1821616194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELA CLAWSON

Provider Business Mailing Address
First Line	:	159 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-647-3300
Fax Number	:	865-647-3309

Provider Business Practice Location Address
First Line	:	159 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-647-3300
Fax Number	:	865-647-3309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2020
Last Update Date	:	02/19/2025

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Directions to “ MICHAELA CLAWSON ” Practice Location

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