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NPI Code Detail

MEDICARE: JENNIFER AILEEN ROWLEY FNP-C

MEDICARE: JENNIFER AILEEN ROWLEY FNP-C
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
1363LF0000XFamily Nurse Practitioner343307-4405UT

General Provider Information

NPI Number : 1578018834
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER AILEEN ROWLEY FNP-C
Provider Business Mailing Address
First Line : 26 S MAIN ST
Second Line :
City : CENTERVILLE
State : UT
Zip : 84014-1817
Country : US
Telephone Number : 801-693-7900
Fax Number :
Provider Business Practice Location Address
First Line : 26 S MAIN ST
Second Line :
City : CENTERVILLE
State : UT
Zip : 84014-1817
Country : US
Telephone Number : 801-693-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2016
Last Update Date : 11/17/2021

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