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NPI Code Detail

MEDICARE: COLUMBUS FAMILY MEDICAL CLINIC LLC

MEDICARE: COLUMBUS FAMILY MEDICAL CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1568344331
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS FAMILY MEDICAL CLINIC LLC
Provider Business Mailing Address
First Line : 358 SAGAMORE CIR
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-1147
Country : US
Telephone Number : 662-251-0342
Fax Number :
Provider Business Practice Location Address
First Line : 428 24TH AVE N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-1945
Country : US
Telephone Number : 662-265-3020
Fax Number :
Authorized Official
Title or Position : FNP/OWNER
Name : BRITTANY LEE BOWEN
Credential : FNP
Telephone Number : 662-251-0342
Provider Enumeration Date : 07/23/2025
Last Update Date : 02/19/2026

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Directions to “COLUMBUS FAMILY MEDICAL CLINIC LLC ” Practice Location

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