Individual
JACQUELINE S ROWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, ANP-BC
Contact information
Practice address
9002 N MERIDIAN ST, LOWER LEVEL, INDIANAPOLIS, IN 46260-5381
(574) 268-9640
(574) 268-0684
Mailing address
15272 KAMPEN CIR, CARMEL, IN 46033-0002
(574) 268-9640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71004611A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28084276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000030
—
IN
Enumeration date
01/30/2006
Last updated
07/29/2015
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