Bethany Nichole Cowan, FNP-C
Nurse Practitioner, Family in Tyler, TX. Individual provider (NPI-1).
NPI number1164094744
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1164094744
- Entity type
- Individual (NPI-1)
- Name
- Ms. Bethany Nichole Cowan
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1044353 | TX | Yes |
Practice location
703 S Fleishel AveTyler, TX 75701-2015
Phone 903-606-3000
Mailing address
1619 Stanley Dr # 100Longview, TX 75605-4268
Phone 903-216-7011
Other practice locations
1783 Troup Hwy
Tyler, TX 75701-5869
Tyler, TX 75701-5869
Phone 903-595-2283
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