Provider Demographics
NPI:1053937896
Name:LAWSON, GRETCHEN ELAINE (MSN, APRN, AGNP-C)
Entity type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:ELAINE
Last Name:LAWSON
Suffix:
Gender:
Credentials:MSN, APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3141 AMITY CT STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5745
Mailing Address - Country:US
Mailing Address - Phone:704-900-6122
Mailing Address - Fax:704-900-6116
Practice Address - Street 1:1122 SAM NEWELL RD STE 114
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5016
Practice Address - Country:US
Practice Address - Phone:980-430-3130
Practice Address - Fax:980-245-3433
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5019709363LP2300X
NC139662163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care