Provider Demographics
NPI:1629375456
Name:ROWAN, LINDA M (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:ROWAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 MONUMENT RD
Mailing Address - Street 2:STE 19
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-7407
Mailing Address - Country:US
Mailing Address - Phone:904-727-5160
Mailing Address - Fax:
Practice Address - Street 1:1301 MONUMENT RD
Practice Address - Street 2:STE 19
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-7407
Practice Address - Country:US
Practice Address - Phone:904-727-5160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9232377363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics