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General NPI Number Information
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NPI Number | 1326595919
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Entity Type | Individual
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Provider Name | ASHLEY EVON JOWERS DNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 08/07/2017
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Provider Practice Location Address
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Address Line | 11100 OLD HWY 64 WEST
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City | BOLIVAR
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State | TN
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Zip | 38008
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Country | US
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Telephone | 731-228-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 OLD HWY 64 WEST
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City | BOLIVAR
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State | TN
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Zip | 38008
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Country | US
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Telephone | 731-228-0717
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Fax | 731-658-7403
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 21583
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License Number State | TN
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