MEDICARE: JENNIFER BOWENS CERTIFIED HAIR LOSS

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
1	1744P3200X	Prosthetics Case Management	CO124185	GA

General Provider Information

NPI Number	:	1114416393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BOWENS CERTIFIED HAIR LOSS

Provider Business Mailing Address
First Line	:	112 COMMERCIAL HTS STE A
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-3395
Country	:	US
Telephone Number	:	478-225-3584
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 COMMERCIAL HTS STE A
Second Line	:
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-3395
Country	:	US
Telephone Number	:	478-225-3584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	05/03/2018

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1144833625 — MIND ABOVE MATTER LLC
Practice Location Address:

5900 HEREFORD DR
FORT WORTH, TX
76179-3395

Practice Phone: 817-447-3001
Practice Fax:

1750032330 — FUTURE FOCUSED CONSULTING LLC
Practice Location Address:

6471 SW 195TH AVE
FORT LAUDERDALE, FL
33332-3395

Practice Phone: 954-449-5050
Practice Fax:

1770331969 — SABRINA LAGUARDIA SANTOS
Practice Location Address:

1895 N TAMIAMI TRL
NORTH FORT MYERS, FL
33903-3395

Practice Phone: 305-370-8837
Practice Fax:

1700084753 — MS. MARTHA JANE RICHARDS PNP
Practice Location Address:

2123 YGNACIO VALLEY RD , STE K-100
WALNUT CREEK, CA
94598-3395

Practice Phone: 925-280-8137
Practice Fax: 925-280-8130

1427502004 — KATASHA TAYLOR
Practice Location Address:

2123 YGNACIO VALLEY RD # 200
WALNUT CREEK, CA
94598-3395

Practice Phone: 925-926-0195
Practice Fax:

Directions to “ JENNIFER BOWENS CERTIFIED HAIR LOSS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.