Individual
JOHNATHAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-2255
Mailing address
240 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-2255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012257
KY
Other
Enumeration date
05/23/2018
Last updated
11/03/2021
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