Individual provider · NPI-1

Jeanette Lynne Bowers, CPNP

Nurse Practitioner, Pediatrics · Madera, CA

NPI number1790920221
StatusActive
Last updated in NPPESMar 12, 2013

Details

NPI
1790920221
Entity type
Individual (NPI-1)
Name
Mrs. Jeanette Lynne Bowers
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2008
Last updated
Mar 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics17463CAYes

Practice location

9300 Valley Childrens Pl
Madera, CA 93636-8761

Phone 559-353-5941

Mailing address

9300 Valley Childrens Pl
Madera, CA 93636-8761

Phone 559-353-5941

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