Provider Demographics
NPI:1598482663
Name:ROWE, JAZLYN WHITNEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:JAZLYN
Middle Name:WHITNEY
Last Name:ROWE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:BIG STONE GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24219-4398
Mailing Address - Country:US
Mailing Address - Phone:276-365-0064
Mailing Address - Fax:
Practice Address - Street 1:5626 PATRIOT DR
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-1138
Practice Address - Country:US
Practice Address - Phone:276-328-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily