Antonique Bowen
Nurse Practitioner, Psych/Mental Health in Addison, IL. Individual provider (NPI-1).
NPI number1104765155
StatusActive
Last updated in NPPESMar 26, 2026
Details
- NPI
- 1104765155
- Entity type
- Individual (NPI-1)
- Name
- Antonique Bowen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2026
- Certification date
- Mar 26, 2026
- Last updated
- Mar 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN-NP305611 | GA | Yes |
Practice location
1221 N Swift RdAddison, IL 60101-6105
Phone 706-664-6302
Mailing address
1221 N Swift RdAddison, IL 60101-6105
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