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Individual

MR. JEFFERY MICHAEL BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
3066 LAKEVIEW CIR, GADSDEN, AL 35907-0858
(256) 996-4661
Mailing address
3066 LAKEVIEW CIR, GADSDEN, AL 35907-0858
(256) 996-4661

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-155731
AL
363LF0000X
Family Nurse Practitioner
Primary
1-155731
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/07/2023
Last updated
02/22/2023
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