IndividualActive
Maxine Mcgowan, MSN, PHD, FNP-C
NPI 1407907371 · Primary Care Nurse Practitioner · Rex, GA
Provider details
- NPI number
- 1407907371
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, PHD, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NR07760600 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3866 Augustine Pl
Rex, GA 30273-5822
Phone: (678) 343-1257
Fax: (770) 507-2352
Approximate (ZIP-level) locationGet directions
Mailing address
6571 Yarbrough Dr
Fairburn, GA 30213-4649
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2013-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.