Individual
TABITHA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1222 W NORTHWOOD ST, GREENSBORO, NC 27408-8017
(980) 253-5136
Mailing address
1903 HUNTINGTON RD, GREENSBORO, NC 27408-7227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5016359
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016359
NC
Other
Enumeration date
06/15/2021
Last updated
04/02/2025
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