Individual provider · Type 1 NPI
Angela H. Sullivan-Bowman, NP-C
Family Nurse Practitioner · Fort Oglethorpe, GA
NPI number
1063405553
Active
Practice location
2403 Battlefield Parkway
Fort Oglethorpe, GA 30742
Fax (423) 476-4487
Mailing address
2717 East Oakland Avenue
Johnson City, TN 37601-1843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6046 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | GAA-NP000772 (GA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1063405553
Angela H. Sullivan-Bowman, NP-C's National Provider Identifier is 1063405553, issued on Aug 30, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on Jan 10, 2024.