Provider Demographics
NPI:1548693849
Name:ROWLETTE, ALINE VALERIE (ARNP)
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:VALERIE
Last Name:ROWLETTE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALINE
Other - Middle Name:VALERIE
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 44008
Mailing Address - Street 2:UFJP - PROVIDER ENROLLMENT
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32231-4008
Mailing Address - Country:US
Mailing Address - Phone:904-244-3199
Mailing Address - Fax:904-244-3425
Practice Address - Street 1:800 PRUDENTIAL DR
Practice Address - Street 2:UFJP - DEPT. OF PEDIATRICS/CRITICAL CARE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8202
Practice Address - Country:US
Practice Address - Phone:904-202-8758
Practice Address - Fax:904-306-9884
Is Sole Proprietor?:No
Enumeration Date:2013-08-10
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9210304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003137007AMedicaid
FL009394800Medicaid
FL009394800Medicaid