Healthcare Provider Details

I. General information

NPI: 1578194015
Provider Name (Legal Business Name): JACOB D. ROWLAND DNP, APN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 NJ-33 SUITE H
HAMILTON TOWNSHIP NJ
08690
US

IV. Provider business mailing address

1407A YARMOUTH LN
MOUNT LAUREL NJ
08054-6254
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-4100
  • Fax:
Mailing address:
  • Phone: 609-668-7792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number26NR19380500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01063600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: