Most Relevant Information
Provider Data
| NPI Number: | 1003676198 |
| Provider Name: | AMY K LAWRENCE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 34530 |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
2863 HIGHWAY 45 BYP
JACKSON
TN
383053618
Practice Location Phone/Fax
| Phone: | 7314220213 |
| Fax: | 7316608380 |
Provider Mailing Location
PO BOX 400
JACKSON
TN
383020400
Provider Mailing Phone/Fax
| Phone: | 7314255752 |
| Fax: | 7312567634 |