Individual
HALEY JEANETTE BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
105 ST HWY 1947 A, GRAYSON, KY 41143-6825
(606) 475-0152
(606) 474-4240
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
16660-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
3008827
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116292
—
OH
05
—
3910006415
—
WV
05
—
7100341150
—
KY
Enumeration date
11/07/2014
Last updated
09/08/2020
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