MEDICARE: CLAUDIA BOWMAN

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	363LF0000X	Family Nurse Practitioner	R855499	MS

General Provider Information

NPI Number	:	1174892822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA BOWMAN

Provider Business Mailing Address
First Line	:	PO BOX 1100
Second Line	:
City	:	MAGEE
State	:	MS
Zip	:	39111-1100
Country	:	US
Telephone Number	:	601-849-6440
Fax Number	:	601-849-1309

Provider Business Practice Location Address
First Line	:	1123 HIGHWAY 35 S
Second Line	:
City	:	FOREST
State	:	MS
Zip	:	39074-8829
Country	:	US
Telephone Number	:	601-469-4771
Fax Number	:	601-469-4724

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

Provider Enumeration Date	:	12/27/2011
Last Update Date	:	12/27/2011

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Directions to “ CLAUDIA BOWMAN ” Practice Location

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