Individual
LAUREN BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2503 WEST MAIN, SUITE 2, RUSSELLVILLE, AR 72801
(479) 219-1219
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
222044
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293505758
—
AR
Enumeration date
11/28/2022
Last updated
01/04/2023
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