MEDICARE: MRS. JO ANN H. LOWE NURSE

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	164X00000X	Licensed Vocational Nurse	PN1173111	FL

General Provider Information

NPI Number	:	1164681912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JO ANN H. LOWE NURSE

Provider Business Mailing Address
First Line	:	2427 TOWNSQUARE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-3399
Country	:	US
Telephone Number	:	904-514-4246
Fax Number	:	904-724-8079

Provider Business Practice Location Address
First Line	:	2427 TOWNSQUARE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-3399
Country	:	US
Telephone Number	:	904-514-4246
Fax Number	:	904-724-8079

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

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	06/09/2008

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