Healthcare Provider Details

I. General information

NPI: 1366841470
Provider Name (Legal Business Name): JOANNE ROWLEY PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 10/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 OCEAN AVE WELLNESS 5TH FLR
REVERE MA
02151-3675
US

IV. Provider business mailing address

300 OCEAN AVE WELLNESS 5TH FLR
REVERE MA
02151-3675
US

V. Phone/Fax

Practice location:
  • Phone: 978-465-6064
  • Fax: 781-485-6230
Mailing address:
  • Phone: 978-465-6064
  • Fax: 781-485-6230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN170264
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: