Provider Demographics
NPI:1619852134
Name:ROWLAND, MIRANDA (APRN MSN FNP-BC)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:APRN MSN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 GREENWAY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-2012
Mailing Address - Country:US
Mailing Address - Phone:865-304-2454
Mailing Address - Fax:
Practice Address - Street 1:3129 GREENWAY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2012
Practice Address - Country:US
Practice Address - Phone:865-304-2454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN245232163W00000X
TN39408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse