Provider Demographics
NPI:1164681912
Name:LOWE, JO ANN H (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JO ANN
Middle Name:H
Last Name:LOWE
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2427 TOWNSQUARE DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3399
Mailing Address - Country:US
Mailing Address - Phone:904-514-4246
Mailing Address - Fax:904-724-8079
Practice Address - Street 1:2427 TOWNSQUARE DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-3399
Practice Address - Country:US
Practice Address - Phone:904-514-4246
Practice Address - Fax:904-724-8079
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN1173111164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse