Provider Demographics
NPI:1972724367
Name:ROWLES, JOANNE RUTH (APRN, BC)
Entity Type:Individual
Prefix:MISS
First Name:JOANNE
Middle Name:RUTH
Last Name:ROWLES
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15550 N FERNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HALLSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65255-9581
Mailing Address - Country:US
Mailing Address - Phone:573-669-0098
Mailing Address - Fax:
Practice Address - Street 1:500 N KEENE ST
Practice Address - Street 2:SUITE 305
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8104
Practice Address - Country:US
Practice Address - Phone:573-874-3300
Practice Address - Fax:753-874-0665
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO077641363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health