Individual
MICAH DAVID LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN APRN PMHNP-BC
Contact information
Practice address
405 SCENIC DR STE B, ROGERSVILLE, TN 37857-2441
(423) 272-2111
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
38354
TN
Other
Enumeration date
03/06/2025
Last updated
04/29/2025
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