Individual
JENNIFER AUTUMN BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
725 MARSHALL ST, NEW HAVEN, IL 62867-2026
(618) 383-0379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28277465A
IN
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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