Provider Demographics
NPI:1023750098
Name:ROWLES, MADELEINE LOUISE (FNP-C)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:LOUISE
Last Name:ROWLES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 N COLUMBIA AVE STE D
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-6815
Mailing Address - Country:US
Mailing Address - Phone:912-826-2132
Mailing Address - Fax:
Practice Address - Street 1:1214 N COLUMBIA AVE STE D
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-6815
Practice Address - Country:US
Practice Address - Phone:912-826-2132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA307498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty