=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346308525
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NANCY G. ROWELL-CRANE NP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2006
-----------------------------------------------------
Last Update Date | 08/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103 SE 3RD ST
-----------------------------------------------------
City | TRENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32693-3247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-577-5252
-----------------------------------------------------
Fax | 352-329-4313
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 108 PARADISE COVE BLVD
-----------------------------------------------------
City | MEXICO BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32456-0156
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-480-3256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 85782
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN11008420
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------