Basic Information
| Provider Information | |||||||||
| NPI: | 1902395528 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROWE | ||||||||
| FirstName: | WHITNEY | ||||||||
| MiddleName: | NACOLE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1595 | ||||||||
| Address2: | |||||||||
| City: | ASHLAND | ||||||||
| State: | KY | ||||||||
| PostalCode: | 411051595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064089571 | ||||||||
| FaxNumber: | 6064086061 | ||||||||
| Practice Location | |||||||||
| Address1: | KINGS DAUGHTERS MEDICAL CENTER GREENUP PRIMARY CARE | ||||||||
| Address2: | 1629 ASHLAND RD | ||||||||
| City: | GREENUP | ||||||||
| State: | KY | ||||||||
| PostalCode: | 41144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064730687 | ||||||||
| FaxNumber: | 6064730689 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2018 | ||||||||
| LastUpdateDate: | 05/12/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 3012327 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WE0003X | 1155197 | KY | N | Nursing Service Providers | Registered Nurse | Emergency |
No ID Information.