person
Jeta Laurie Bowman, AGNP
Adult Health Nurse Practitioner in Tyler, Texas
NPI 1366899288

Jeta Laurie Bowman is an Adult Health Nurse Practitioner based in Dallas, TX and is specialized in Adult Health. Jeta Laurie Bowman practices in Tyler, TX and has the professional credentials of AGNP. The NPI Number for Jeta Laurie Bowman is 1366899288 and holds a License No. AP130960 (Texas).

The current practice location address for Jeta Laurie Bowman is 520 Douglas Blvd, Tyler, TX and can be reached out via phone at 903-606-1721. You can also correspond with Jeta Laurie Bowman through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6400).

Location: 520 Douglas Blvd, Tyler, TX, 75284-6098
person
Provider Profile Details
NPI Number
1366899288
Provider Name
Jeta Laurie Bowman
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
520 Douglas Blvd, Tyler, TX, 75284-6098
Phone Number
903-606-1721
Fax Number
Provider Enumeration Date
05/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
381618302 05 TX
P02223408 01 TX MEDICARE RAIL ROAD
787876 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
520 Douglas Blvd
City
State
Zip
75702
Phone Number
903-606-1721
Fax Number
person
Provider Business Mailing Address Details
Address
520 Douglas Blvd
City
State
Zip
75702
Phone Number
903-606-1721
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP130960 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AP130960 (Texas)
Definition
Definition to come...
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