Provider Demographics
NPI:1760759807
Name:JOWERS, JEANNE DENISE (RN)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:DENISE
Last Name:JOWERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1050
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-1050
Mailing Address - Country:US
Mailing Address - Phone:731-968-8148
Mailing Address - Fax:731-968-4777
Practice Address - Street 1:90 RUSH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-2241
Practice Address - Country:US
Practice Address - Phone:731-968-8148
Practice Address - Fax:731-968-4777
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000116452163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health