Healthcare Provider Details

I. General information

NPI: 1023349677
Provider Name (Legal Business Name): KIRSTEN ROWE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2782 YORK RD
COOPERTOWN TN
37146-9070
US

IV. Provider business mailing address

600 E. DIXIE AVENUE ATTN: CREDENTIALING
LEESBURG FL
34748
US

V. Phone/Fax

Practice location:
  • Phone: 629-208-1154
  • Fax: 615-691-7749
Mailing address:
  • Phone: 352-323-4267
  • Fax: 352-323-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39130
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 3178682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: