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Individual

DR. FELESIA R BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
17 TWIN OAKS CT, JACKSON, NJ 08527-5359
(732) 277-0273
Mailing address
17 TWIN OAKS CT, JACKSON, NJ 08527-5359
(732) 833-1589

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN08269200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NN08269200
NJ APN LICENSE
NJ
01
26NR08269200
NJ RN LICENSE
NJ
01
P00201500
CDS
NJ
Enumeration date
02/19/2007
Last updated
08/02/2010
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