Individual
JENNIFER LEIGH LEIGH BOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 S 6TH ST, WILLIAMS, AZ 86046-0110
(928) 635-4441
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 635-4441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0193136
CO
363LF0000X
Family Nurse Practitioner
0990544-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
260856
AZ
Other
Enumeration date
01/17/2013
Last updated
02/14/2022
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