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NPI Code Detail

MEDICARE: DR. JENNIFER L BOWEN DNP, PMHNP-BC

MEDICARE: DR. JENNIFER L BOWEN DNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2292364MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00659300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12292364OTHERMALICENSE

General Provider Information

NPI Number : 1366827404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER L BOWEN DNP, PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 441
Second Line :
City : PINE BEACH
State : NJ
Zip : 08741-0441
Country : US
Telephone Number : 908-430-8061
Fax Number : 732-605-5942
Provider Business Practice Location Address
First Line : 1400 HOOPER AVE STE 2
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-2981
Country : US
Telephone Number : 908-430-8061
Fax Number : 732-605-5942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 07/25/2025

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