Provider Demographics
NPI:1598712499
Name:PLUMLEE, ROWENA KAYE (ANP)
Entity Type:Individual
Prefix:
First Name:ROWENA
Middle Name:KAYE
Last Name:PLUMLEE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHEROKEE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:72529-7314
Mailing Address - Country:US
Mailing Address - Phone:870-257-6000
Mailing Address - Fax:870-257-7673
Practice Address - Street 1:195 HOSPITAL DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHEROKEE VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:72529
Practice Address - Country:US
Practice Address - Phone:870-257-6000
Practice Address - Fax:870-257-7673
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01011363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5U646Medicare ID - Type Unspecified
S98795Medicare UPIN