Provider Demographics
NPI:1295497188
Name:ROWAN, LINDA A (MS, MSN, PMNHP-BC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:ROWAN
Suffix:
Gender:
Credentials:MS, MSN, PMNHP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E BROCKETT ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-4932
Mailing Address - Country:US
Mailing Address - Phone:214-709-3140
Mailing Address - Fax:
Practice Address - Street 1:8330 LYNDON B JOHNSON FWY STE 2
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1166
Practice Address - Country:US
Practice Address - Phone:469-487-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX551319163WP0809X
TX1168992363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult