Mary Jo Bowman, NP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP 9392490 Issued in FL

Practice address

4901 Market Place Rd
Pensacola, FL 32504-8986

Phone

(850) 484-4080

NPI assigned

May 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1629426838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11637",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241637",
            "telephone_number": "850-484-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MARKET PLACE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048986",
            "telephone_number": "850-484-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "MARY JO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9392490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey McDowell Bowers, CRNP
• Aqwuita M Bowie
• Nicholas Paul Bowles, PHARM. D.
• Lester Shawn Bowling, MD
• Marcus R Bowman, LMT
• Nicole Kramer Bowman, MSW, LCSW
• Boyd a Skinner PA
• James Carver Boyd, M.D.
• William Marc Boyd Jr., D.O., M.D.
• Amanda Michelle Boyer

• Gerontology Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.