Melissa Denise Bowman, LPN
Individual provider Active NPI Licensed Practical Nurse · Vicksburg, MS
NPI 1619639895 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1619639895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 315623 (MS)
- Practice address
- 3442 Wisconsin Ave
Vicksburg, MS 39180-5331 - Phone
- (601) 634-0181
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 315623 | MS | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 315623 | MS | Yes |
Addresses
Primary practice location
3442 Wisconsin Ave
Vicksburg, MS 39180-5331
Mailing address
3442 Wisconsin Ave
Vicksburg, MS 39180-5331
Phone (601) 634-0181
Other providers in Vicksburg, MS
- Miriam Bond
- Kathryn Bonner
- Karen Bourne
- Coty Bourque
- Courtney Boutwell
- Rebecca Lauren Boyd
- Mary L Bozeman
- Steven Brasfield
- Lynn Breeden
- Brent Thomas DMD PA
All providers in Vicksburg, MS · Licensed Practical Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. 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.