Individual
TIFFANY ALLISON BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP, PNP
Contact information
Practice address
321 E FIFTEENTH ST, YAZOO CITY, MS 39194-2631
(662) 532-1543
(662) 532-1544
Mailing address
321 E FIFTEENTH ST, YAZOO CITY, MS 39194-2631
(662) 532-1543
(662) 532-1544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R855554
MS
363LN0000X
Neonatal Nurse Practitioner
R855554
MS
363LN0005X
Critical Care Neonatal Nurse Practitioner
R855554
MS
363LP0200X
Pediatric Nurse Practitioner
R855554
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003099
—
MS
Enumeration date
07/19/2006
Last updated
10/04/2023
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