Provider Demographics
NPI:1043378441
Name:ROWELL, MICHELLE FRANCES (NP-C)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:FRANCES
Last Name:ROWELL
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 1:840 PINE ST STE 750
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-7528
Mailing Address - Country:US
Mailing Address - Phone:478-633-1458
Mailing Address - Fax:478-633-5025
Practice Address - Street 1:840 PINE ST STE 750
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7528
Practice Address - Country:US
Practice Address - Phone:478-633-1458
Practice Address - Fax:478-633-5025
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN113302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily