Vickie R Bowen, ASN
Individual provider Active NPI Licensed Practical Nurse · Kingsport, TN
NPI 1467784363 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1467784363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0002064803 (VA)
- Practice address
- 1570 Waverly Rd
Kingsport, TN 37664-2523 - Phone
- (423) 224-1300
- NPI assigned
- Feb 3, 2010
- 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 |
|---|---|---|---|
| 0002064803 | VA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002064803 | VA | Yes |
Addresses
Primary practice location
1570 Waverly Rd
Kingsport, TN 37664-2523
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600
Other providers in Kingsport, TN
- James Hunter Botts
- Devi Prasad Botu
- Amanda Boudreaux
- Renee L Boulicault
- Melanie Creppel Bourgeois
- Carissa Renee Bowery
- Jacqlyne Weber Bowman
- Traci Bowman
- Abigail L Box
- Denni Larae Boyd
All providers in Kingsport, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. 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.