Individual
BONNIE D BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1500 E. WOODROW WILSON DR., JACKSON, MS 39216-5199
(601) 364-1358
(601) 364-1357
Mailing address
1500 E. WOODROW WILSON DRIVE, JACKSON, MS 39216
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R662828
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06785339
—
MS
Enumeration date
07/14/2006
Last updated
07/16/2007
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