Provider Demographics
NPI:1689938706
Name:COWLEY, JO ANN (LPN)
Entity Type:Individual
Prefix:MS
First Name:JO
Middle Name:ANN
Last Name:COWLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 SHORE DR
Mailing Address - Street 2:APT. G
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-9208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:53 SHORE DR
Practice Address - Street 2:APT. G
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-9208
Practice Address - Country:US
Practice Address - Phone:978-531-2432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25216164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse