Individual
JENNIFER LEIGH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
(864) 442-4126
Mailing address
477 CRESTHAVEN DR, BOILING SPGS, SC 29316-5766
(864) 978-7069
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
24963
SC
Other
Enumeration date
03/17/2022
Last updated
09/14/2023
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