Individual provider · Type 1 NPI

Marilynn Rae Smith-Bowles, NP

Gerontology Nurse Practitioner · Fayetteville, GA

NPI number 1740718154 Active

Practice location

1255 Highway 54 W
Fayetteville, GA 30214-4526

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN-NP193197 (GA)
Nurse Practitioner 363L00000XRN193197 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740718154

Marilynn Rae Smith-Bowles, NP's National Provider Identifier is 1740718154, issued on May 30, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fayetteville, GA. The record was last updated on Mar 12, 2026.