Individual
JESSICA L LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6 WELLNESS WAY STE 102, LATHAM, NY 12110-2156
(518) 713-2099
(518) 783-7506
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F382309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03571919
—
NY
Enumeration date
09/07/2012
Last updated
02/08/2024
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