Healthcare Provider Details

I. General information

NPI: 1427988070
Provider Name (Legal Business Name): JENNIFER L BOWEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9291 OLD REDWOOD HWY # 500
WINDSOR CA
95492-8089
US

IV. Provider business mailing address

8005 HANSEN CT
SEBASTOPOL CA
95472-3233
US

V. Phone/Fax

Practice location:
  • Phone: 707-620-1930
  • Fax:
Mailing address:
  • Phone: 707-543-6173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95214254
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: