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NPI Code Detail

MEDICARE: JESSICA BOWMAN PMHNP

MEDICARE: JESSICA BOWMAN PMHNP
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 PractitionerG184194IA

General Provider Information

NPI Number : 1750176244
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BOWMAN PMHNP
Provider Business Mailing Address
First Line : 126 N 10TH ST
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-3915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 N MAIN ST
Second Line :
City : CLARION
State : IA
Zip : 50525-1441
Country : US
Telephone Number : 515-532-3343
Fax Number : 515-576-1951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 08/11/2025

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