Lawson, Jessica L

Lawson, Jessica L is an individual health care provider with primary practice located at 6 Wellness Way Ste 102 , Latham NY 12110-2156. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lawson, Jessica L can be contacted via phone (518) 713-2099.

Contact Information

Primary practice address
6 Wellness Way Ste 102 Latham NY 12110-2156
Fax: (518) 783-7506
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F382309 New York

Profile Details

NPI number 1639428386
LBN Legal business name Lawson, Jessica L
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2012
Last updated Feb 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639428386 NPPES
New York MEDICAID 03571919

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