Individual
STEPHANIE ADAMS MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1910 ROSELAND BLVD, TYLER, TX 75701
(903) 533-0644
(903) 533-0441
Mailing address
1910 ROSELAND BLVD, TYLER, TX 75701
(903) 533-0644
(903) 533-0441
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
655455
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
655455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8684
BCBS
TX
Enumeration date
09/21/2006
Last updated
08/02/2013
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