Individual provider · Type 1 NPI
Jared Charles Fowler, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Maumelle, AR
NPI number
1033077029
Active
Practice location
413 Lainey Dr
Maumelle, AR 72113-7869
Mailing address
16 Evergreen St
Dumas, AR 71639-2932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 125248 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033077029
Jared Charles Fowler, APRN, PMHNP-BC's National Provider Identifier is 1033077029, issued on Jan 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Maumelle, AR. The record was last updated on Jun 18, 2026.