Individual
JEFFREY LEE ROWE
Active
Individual
JEFFREY LEE ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
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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