MEDICARE: JENNIFER LOWMAN 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	123813	WV

General Provider Information

NPI Number	:	1700488665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LOWMAN PMHNP-BC

Provider Business Mailing Address
First Line	:	3194 CORE RD
Second Line	:
City	:	PARKERSBURG
State	:	WV
Zip	:	26104-1556
Country	:	US
Telephone Number	:	304-485-5185
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 N 7TH ST STE 200
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-2244
Country	:	US
Telephone Number	:	740-374-6338
Fax Number	:	740-374-6066

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

Provider Enumeration Date	:	11/14/2020
Last Update Date	:	01/15/2026

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