Provider Demographics
NPI:1104891647
Name:STOWELL, JEAN E (ARNP)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:E
Last Name:STOWELL
Suffix:
Gender:F
Credentials:ARNP
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 1327
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03247-1327
Mailing Address - Country:US
Mailing Address - Phone:603-524-3211
Mailing Address - Fax:603-527-7038
Practice Address - Street 1:12 HARBOR HTS
Practice Address - Street 2:
Practice Address - City:CENTER HARBOR
Practice Address - State:NH
Practice Address - Zip Code:03226-6406
Practice Address - Country:US
Practice Address - Phone:603-253-6925
Practice Address - Fax:603-253-3823
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH053874-23-03363LF0000X
NH053874-23-01367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNP4865Medicare ID - Type Unspecified
NH30343283Medicare ID - Type Unspecified
NHP51610Medicare UPIN