Hollie B Bowman Jr., LPN

Individual provider Active NPI Licensed Practical Nurse · Nashville, TN

NPI 1902889199 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902889199
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
41686 (TN)
Practice address
345 24TH Ave N
Suite 103
Nashville, TN 37203-1520
Phone
(615) 321-9556
Fax
(615) 321-9544
NPI assigned
Nov 22, 2005
Sex
Male
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

LicenseStateTypeSpecialty
41686TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 41686 TN Yes

Addresses

Primary practice location

345 24TH Ave N
Suite 103
Nashville, TN 37203-1520

Mailing address

345 24TH Ave N
Suite 103
Nashville, TN 37203-1520
Phone (615) 321-9556

Other providers in Nashville, TN

All providers in Nashville, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.