Jimmy W Bowlin Jr CRNP LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN14613 Issued in TN

Legal business name

JIMMY W BOWLIN JR CRNP LLC

Practice address

137 Hickory Ridge Dr
Glencoe, AL 35905-9603

Phone

(256) 442-5937

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jimmy W Bowlin Jr.NPI 1922192293

Title

Owner

Phone

(256) 458-3486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmy Wayne Bowlin Jr., CRNP

  • Family Nurse Practitioner
  • Gadsden, AL
  • NPI 1922192293
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1063734671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HICKORY RIDGE DR",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359059603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HICKORY RIDGE DR",
            "city": "GLENCOE",
            "state": "AL",
            "postal_code": "359059603",
            "telephone_number": "256-442-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY W BOWLIN JR CRNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "BOWLIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-458-3486",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN14613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Glencoe, AL
• Providers in Glencoe, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.