Rachel Jennie Bowman
Individual provider Active NPI Nurse's Aide · Villas, NJ
NPI 1366565186 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366565186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA08171753 (NJ)
- Practice address
- 124 Schellinger Ave
Villas, NJ 08251-3039 - Phone
- (609) 770-3474
- NPI assigned
- Apr 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA08171753 | NJ | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA08171753 | NJ | Yes |
Addresses
Primary practice location
124 Schellinger Ave
Villas, NJ 08251-3039
Mailing address
124 Schellinger Ave
Villas, NJ 08251-3039
Phone (609) 770-3474
Other providers in Villas, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.