Individual
MRS. JESSICA LEA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4335 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 992-3867
(865) 992-7238
Mailing address
PO BOX 460, MAYNARDVILLE, TN 37807-0460
(865) 992-3867
(865) 992-3867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00154832
TN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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