Rowe, Jackie Clayton

Rowe, Jackie Clayton is an individual health care provider with primary practice located at 3241 Percy Dr , Cape Girardeau MO 63701-4901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Rowe, Jackie Clayton can be contacted via phone (573) 334-1222.

Contact Information

Primary practice address
3241 Percy Dr Cape Girardeau MO 63701-4901
Phone: (573) 334-1222
Fax: (573) 334-3532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 109722 Missouri

Profile Details

NPI number 1639130479
LBN Legal business name Rowe, Jackie Clayton
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639130479 NPPES
Missouri Other 44696 AANA NUMBER
Missouri Other 109722 AANA NUMBER

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