Provider Demographics
NPI:1902395528
Name:ROWE, WHITNEY NACOLE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:NACOLE
Last Name:ROWE
Suffix:
Gender:F
Credentials:NP-C
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 1595
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-1595
Mailing Address - Country:US
Mailing Address - Phone:606-408-9571
Mailing Address - Fax:606-408-6061
Practice Address - Street 1:KINGS DAUGHTERS MEDICAL CENTER GREENUP PRIMARY CARE
Practice Address - Street 2:1629 ASHLAND RD
Practice Address - City:GREENUP
Practice Address - State:KY
Practice Address - Zip Code:41144
Practice Address - Country:US
Practice Address - Phone:606-473-0687
Practice Address - Fax:606-473-0689
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012327363LF0000X
KY1155197163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency