Individual
CATHY M GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 989-4500
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024166488
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
52951
TN
Other
Enumeration date
09/26/2005
Last updated
11/03/2016
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