Individual
MRS. CARISSA RENEE BOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1181 RIDGE PARKE, KINGSPORT, TN 37663-2035
(423) 930-5040
Mailing address
1181 RIDGE PARKE, KINGSPORT, TN 37663-2035
(423) 930-5040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39675
TN
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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