Teah Bowen, RN SANE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN161144 Issued in GA

Practice address

3215 Shrine Rd
Brunswick, GA 31520-4387

Phone

(912) 242-1017

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1508438979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 AIDAN CT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583776",
            "telephone_number": "912-464-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204387",
            "telephone_number": "912-242-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "TEAH",
        "credential": "RN SANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN131144",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN161144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Neal Boswell, MD
• Kristen Marie Boucher, D.C.
• Erick Bournigal, MD
• Christopher John Bovinet, D.O.
• Paul Allen Bowen II, MD
• Jason Bowman, MD
• Brian C Boyd, PT
• Jennifer Ann Boykin, DOCTOR OF PHARMACY
• Shannon K Boykin, CCC/SLP
• Eric Ray Bracewell, PHARMD

• Registered Nurse in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.