Individual provider · NPI-1

Tracy Bowman, PA

Physician Assistant, Medical · Wilson, NC

NPI number1043228729
StatusActive
Last updated in NPPESJul 10, 2018

Details

NPI
1043228729
Entity type
Individual (NPI-1)
Name
Ms. Tracy Bowman
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2006
Last updated
Jul 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical0010-06396NCYes
363AM0700X Physician Assistant, Medical001588CT

Practice location

1705 Tarboro St Sw
Wilson, NC 27893-3428

Phone 252-399-8928 · Fax 252-399-7477

Mailing address

Po Box 12156
Newport News, VA 23612-2156

Phone 757-867-6593 · Fax 757-867-6588

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant, Medical providers in Wilson, NC