Provider Demographics
NPI:1386853562
Name:ROWELL, CHERRYL LYNN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHERRYL
Middle Name:LYNN
Last Name:ROWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHERRYL
Other - Middle Name:L
Other - Last Name:TRIPLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:106 WEST RUSK STREET
Mailing Address - City:MT ENTERPRISE
Mailing Address - State:TX
Mailing Address - Zip Code:75681-0489
Mailing Address - Country:US
Mailing Address - Phone:903-822-3076
Mailing Address - Fax:903-822-3079
Practice Address - Street 1:106 WEST RUSK STREET
Practice Address - Street 2:
Practice Address - City:MOUNT ENTERPRISE
Practice Address - State:TX
Practice Address - Zip Code:75681-0489
Practice Address - Country:US
Practice Address - Phone:903-822-3076
Practice Address - Fax:903-822-3079
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX432875363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health