# JESSICA MISTY BOWAB

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275066052
- **Gender:** F
- **Credential:** COTA, CHW, DOULA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | — | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | 212675 | TX | — |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 03/28/2022