Healthcare Provider Details
I. General information
NPI: 1295524676
Provider Name (Legal Business Name): BRIANNA NICOLE ROWLES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/02/2025
Last Update Date: 06/20/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 MANNING DR
CHAPEL HILL NC
27514-4226
US
IV. Provider business mailing address
1277 SILVER CREEK RD
JOHNSONBURG PA
15845-2525
US
V. Phone/Fax
- Phone: 984-974-1000
- Fax:
- Phone: 814-389-6598
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WE0003X |
| Taxonomy | Emergency Registered Nurse |
| License Number | RN720151 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 5022356 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: