Individual
TIFFANY YOLANDA BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
662 PENNY BRANCH RD, WARSAW, NC 28398-7756
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(910) 590-7622
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
202403
NC
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
202403
NC
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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