Individual
MRS. JESSICA LEE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
101 TOWER RD, SUITE 120, DAKOTA DUNES, SD 57049-5007
(605) 217-4320
(605) 217-2948
Mailing address
101 TOWER RD, SUITE 120, DAKOTA DUNES, SD 57049-5007
(605) 217-4320
(605) 217-2948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120249
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120249
STATE LICENSE NUMBER
IA
Enumeration date
08/07/2014
Last updated
08/07/2014
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