Jamestown Healthcare Clinic, LLC

NPI #1588989008 in Jamestown, Kentucky

Provider Information

NPI Number: 1588989008
Entity Type: Organization
Organization Name: Jamestown Healthcare Clinic, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 29, 2010
Last Updated: Mar 29, 2010

Practice Location

Address: 1417 N. MAIN ST
City: Jamestown
State: Kentucky
ZIP Code: 42629
Phone: (270) 343-2597

Authorized Official

Name: JERRY W LAWSON, M.D.
Title: OWNER, PRESIDENT
Phone: (270) 343-2597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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