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Individual
JAMIE GLEE MOWRY
Active
Individual
JAMIE GLEE MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13399
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
13399
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598474942
—
WI
05
—
1598474942
—
WV
Enumeration date
11/15/2022
Last updated
07/01/2025
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