Individual
JENNA RENEE BOWERSOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-1279
Mailing address
265 ROHRSBURG RD, ORANGEVILLE, PA 17859-9107
(570) 428-5157
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN706565
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN706565
PA
Other
Enumeration date
04/01/2024
Last updated
06/15/2026
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