Provider Demographics
NPI:1003254046
Name:ROWLAND, DAISY CAROLINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:DAISY
Middle Name:CAROLINE
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 ROCK RIDGE CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-6243
Mailing Address - Country:US
Mailing Address - Phone:901-385-3925
Mailing Address - Fax:
Practice Address - Street 1:2960B AUSTIN PEAY HWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-5602
Practice Address - Country:US
Practice Address - Phone:901-372-7878
Practice Address - Fax:901-373-9298
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000007207164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse