Individual
JEFFREY LEE ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
5221 US ROUTE 60 E, RADIOLOGY, INC., HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-0704
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
66701
WV
363LA2100X
Acute Care Nurse Practitioner
Primary
66701
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002011012
WV BCBS
WV
05
—
2926169
—
OH
01
—
52024290
PASSPORT
KY
01
—
550493376 00
WV WORKER'S COMPENSATION
WV
05
—
7100067710
—
KY
01
—
P00669815
RR MEDICARE (WV)
WV
Enumeration date
11/07/2006
Last updated
01/08/2010
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