Individual
JACARMA CRYSTAL BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
847 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-2303
(616) 710-7811
Mailing address
847 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-2303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704245798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891279956
—
MI
Enumeration date
09/24/2018
Last updated
04/16/2020
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