Provider Demographics
NPI:1124681309
Name:ROWLAND, DONNA JEAN (LVN/LPN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LVN/LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 W FM 917
Mailing Address - Street 2:
Mailing Address - City:JOSHUA
Mailing Address - State:TX
Mailing Address - Zip Code:76058-5078
Mailing Address - Country:US
Mailing Address - Phone:682-375-8166
Mailing Address - Fax:
Practice Address - Street 1:1032 W FM 917
Practice Address - Street 2:
Practice Address - City:JOSHUA
Practice Address - State:TX
Practice Address - Zip Code:76058-5078
Practice Address - Country:US
Practice Address - Phone:682-375-8166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345767164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse