Individual
JEREMY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
Mailing address
2124 E COUNTY ROAD 300 N, SULLIVAN, IN 47882-7408
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28151320A
IN
363L00000X
Nurse Practitioner
Primary
71012882A
IN
Other
Enumeration date
12/04/2021
Last updated
08/16/2022
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