Individual
ANNA LISA BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4536 NOLENSVILLE PIKE STE F, NASHVILLE, TN 37211-4786
(615) 277-0760
(615) 277-0765
Mailing address
5754 STONE BROOK DR, BRENTWOOD, TN 37027-3911
(559) 260-3571
(615) 277-0765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16467
CA
363A00000X
Physician Assistant
Primary
PA2549
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16467
CA PHYSICIAN ASST. LIC#
CA
01
—
PA2549
TN LICENSE
TN
Enumeration date
03/23/2007
Last updated
04/30/2015
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