Individual
LISA MARIE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9576
(609) 754-9015
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-9576
(609) 754-9015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR19590800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518206572
—
RI
Enumeration date
02/11/2013
Last updated
04/26/2018
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