Jennifer a Bowman DNP Pmhnp LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JENNIFER A BOWMAN DNP PMHNP LLC

Practice address

135 Technology Dr Ste 204
Canonsburg, PA 15317-9549

Phone

(724) 399-3931

Fax

(724) 618-3853

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer A Bowman, NPNPI 1003218280

Title

Ceo

Phone

(724) 399-3931

Specialties & licenses 1

Addresses

Other names 1

• Southpointe Psychiatry & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer A. Bowman, DNP, MBA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canonsburg, PA
  • NPI 1003218280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1326828534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 204",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-399-3931",
            "fax_number": "724-618-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 204",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-399-3931",
            "fax_number": "724-618-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A BOWMAN DNP PMHNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-399-3931",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southpointe Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southpointe Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Ruth Janusey
• Kristine Jarabeck, LPC
• Sharon Jefferson, PT
• Jeffreys Drug Store Inc.
• Jeffreys Drug Store LTC
• Arienne Jennings, M.S, CCC/SLP
• Jeffrey Alan Johnston
• Kelly Johnston, MT-BC
• Nathan Paul Johnston, PTA
• Jonas E Marry D.C.

• Psychiatric/Mental Health Nurse Practitioner in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.