Individual
GABRIELLE ALEXANDRA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1316 N LAKE DR, LEXINGTON, SC 29072-7653
(803) 358-1191
(803) 358-1180
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
240408
SC
363LF0000X
Family Nurse Practitioner
Primary
29073
SC
Other
Enumeration date
05/09/2024
Last updated
10/15/2025
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