Individual
JAMIE B. POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
484 GOLDEN AUTUMN WAY STE 201, BOWLING GREEN, KY 42103-6914
(270) 780-2496
(270) 780-0475
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3013191
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100591640
—
KY
Enumeration date
03/28/2019
Last updated
12/11/2020
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