Healthcare Provider Details

I. General information

NPI: 1316821093
Provider Name (Legal Business Name): JAMIE CHRISTINE BOWLES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 RANDOLPH RD SE
ALBUQUERQUE NM
87106-4230
US

IV. Provider business mailing address

1111 CARDENAS DR SE APT 105
ALBUQUERQUE NM
87108-4864
US

V. Phone/Fax

Practice location:
  • Phone: 505-257-5760
  • Fax:
Mailing address:
  • Phone: 505-257-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number86070
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: