Organization
JIMMY W BOWLIN JR CRNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY W BOWLIN JR. CRNP (NURSR PRACTITIONER)
(256) 458-3486
Entity
Organization
Contact information
Practice address
581 CANOE CREEK RD, RAINBOW CITY, AL 35906-8971
(256) 458-3486
Mailing address
581 CANOE CREEK RD, RAINBOW CITY, AL 35906-8971
(256) 458-3486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-056721
AL
Other
Enumeration date
06/04/2007
Last updated
04/12/2017
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