MEDICARE: DR. JACLYN MARIE ROWLETT AU.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	30002438	NC

General Provider Information

NPI Number	:	1053832998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACLYN MARIE ROWLETT AU.D

Provider Business Mailing Address
First Line	:	2111 NEUSE BLVD STE H
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28560-4318
Country	:	US
Telephone Number	:	833-354-1492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 NEUSE BLVD STE H
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28560-4318
Country	:	US
Telephone Number	:	833-354-1492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2017
Last Update Date	:	06/16/2026

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