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General NPI Number Information
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NPI Number | 1841968849
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Entity Type | Individual
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Provider Name | CIERRA JACKSON ROWE
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Gender | Female
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 2251 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2841
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Country | US
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Telephone | 252-757-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 2523 LANCE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-7296
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 5014992
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5014992
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License Number State | NC
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