Provider Demographics
NPI:1619514585
Name:ROWDON, JADIAN MESSINA (CRNP)
Entity Type:Individual
Prefix:
First Name:JADIAN
Middle Name:MESSINA
Last Name:ROWDON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JADIAN
Other - Middle Name:CHRISTINE
Other - Last Name:MESSINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9409 PARAGON CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1408
Mailing Address - Country:US
Mailing Address - Phone:443-789-1525
Mailing Address - Fax:
Practice Address - Street 1:7601 OSLER DR
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7700
Practice Address - Country:US
Practice Address - Phone:410-337-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR197197363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner