Provider Demographics
NPI:1497467831
Name:ROWLS, JAWANDA
Entity Type:Individual
Prefix:
First Name:JAWANDA
Middle Name:
Last Name:ROWLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 VANE CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1526
Mailing Address - Country:US
Mailing Address - Phone:202-705-2208
Mailing Address - Fax:
Practice Address - Street 1:711 7TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3601
Practice Address - Country:US
Practice Address - Phone:202-341-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant