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NPI Code Detail

MEDICARE: MISHELLE LYNN MOWRY NP

MEDICARE: MISHELLE LYNN MOWRY NP
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
1363LF0000XFamily Nurse PractitionerCOA.13612-NPOH

General Provider Information

NPI Number : 1831445329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISHELLE LYNN MOWRY NP
Provider Business Mailing Address
First Line : 2260 MORSE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5858
Country : US
Telephone Number : 614-702-7899
Fax Number : 614-706-1570
Provider Business Practice Location Address
First Line : 2260 MORSE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5858
Country : US
Telephone Number : 614-702-7899
Fax Number : 614-706-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 02/28/2024

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