Healthcare Provider Details

I. General information

NPI: 1417668880
Provider Name (Legal Business Name): BOWDEN MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 MARTY LN
HATTIEVILLE AR
72063-8930
US

IV. Provider business mailing address

555 COUNTRY ACRES RD
ATKINS AR
72823-8400
US

V. Phone/Fax

Practice location:
  • Phone: 479-264-4591
  • Fax: 501-977-0120
Mailing address:
  • Phone: 479-264-4591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAUREN BOWDEN
Title or Position: OWNER
Credential: CNP
Phone: 479-264-4591