Individual
AMANDA J BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 S WALL ST, CARBONDALE, IL 62901-3021
(618) 519-9200
Mailing address
109 CALIFORNIA STREET, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277000592
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277000592
IL
Other
Enumeration date
04/24/2014
Last updated
08/22/2022
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