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Individual

MS. JINDA A BOWERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-7425
(513) 584-7681
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA12549-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0052931
OH
05
7100206760
KY
Enumeration date
09/12/2011
Last updated
07/13/2017
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