Organization
JIMMY W BOWLIN JR CRNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY W BOWLIN JR. (OWNER)
(256) 458-3486
Entity
Organization
Contact information
Practice address
137 HICKORY RIDGE DR, GLENCOE, AL 35905-9603
(256) 442-5937
Mailing address
137 HICKORY RIDGE DR, GLENCOE, AL 35905-9603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN14613
TN
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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