Individual provider · Type 1 NPI

Jeta Laurie Bowman, AGNP

Adult Health Nurse Practitioner · Tyler, TX

NPI number 1366899288 Active

Practice location

520 Douglas Blvd
Tyler, TX 75702

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Other practice locations

  • 520 Douglas Blvd, Tyler, TX 75702 · (903) 606-1721

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAP130960 (TX)
Adult Health Nurse Practitioner Primary 363LA2200XAP130960 (TX)

Adult Health Nurse Practitioner: Definition to come...

37 other providers at this address

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About NPI 1366899288

Jeta Laurie Bowman, AGNP's National Provider Identifier is 1366899288, issued on May 20, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tyler, TX. The record was last updated on Jul 1, 2019.