Jackie Clayton Rowe, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

109722 Issued in MO

Practice address

3241 Percy Dr
Cape Girardeau, MO 63701-4901

Phone

(573) 334-1222

Fax

(573) 334-3532

NPI assigned

Mar 31, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639130479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 627A",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637649724",
            "telephone_number": "573-238-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 PERCY DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014901",
            "telephone_number": "573-334-1222",
            "fax_number": "573-334-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "JACKIE",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "109722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA NUMBER",
            "identifier": "44696",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "109722",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven D Rothert, MD
• Charlene Rottler, COTA
• Austin R Roubidoux, APRN-C
• Amjad Roumany, M.D.
• Erica Lynn Rouse
• Phyllis Rowe, LCSW
• Matthew Scott Rubel, P.T.
• Heather Ruch, RN
• Krystin Paige Ruch
• Janice L Ruesler, LPC

• Certified Registered Nurse Anesthetist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.