Individual
COURTNEY L BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
701 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4796
(865) 982-7101
(833) 908-2132
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173841
VA
363LF0000X
Family Nurse Practitioner
Primary
20853
TN
363LF0000X
Family Nurse Practitioner
24012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8528
—
SC
01
—
SCN1435684
MEDICARE
SC
Enumeration date
03/30/2016
Last updated
12/22/2022
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