Individual
KRISTINA JANE BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 NEW YORK AVE, OAK RIDGE, TN 37830-5212
(865) 835-5880
(865) 374-2009
Mailing address
302 E FOREST LN, OAK RIDGE, TN 37830-3921
(865) 406-3825
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
204625
TN
363L00000X
Nurse Practitioner
Primary
26289
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082833
—
TN
Enumeration date
07/18/2019
Last updated
01/03/2024
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