Individual
JILLIAN WARD BOWDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0371
(352) 273-7770
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9246531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012327600
—
FL
Enumeration date
07/01/2014
Last updated
02/17/2016
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