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Individual
TAMMY JO BOWEN
Active
Individual
TAMMY JO BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007583
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086522
—
OH
05
—
7100241310
—
KY
05
—
K084900
—
KY
Enumeration date
06/12/2012
Last updated
12/09/2021
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