Jennifer Irene Bowden, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28207543A Issued in IN

Practice address

5230 Corgan Way Apt 525
Indianapolis, IN 46241-8827

Phone

(463) 200-3335

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Irene Daugherty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1972276137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CORGAN WAY APT 525",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462418827",
            "telephone_number": "463-200-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CORGAN WAY APT 525",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462418827",
            "telephone_number": "463-200-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28207543A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "28207543A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DAUGHERTY",
            "middle_name": "IRENE",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hailley Pearl Bouwers
• Mikylah Bouye
• Kelli Joy Bovenkerk, NP
• Anthony William-George Bovenschen
• Oleh Bovkis
• Mikayla Bowden, LCSW
• Marissa Anne Bowdler, PHARMD
• Austin Bowell
• Amelia Paige Bowen, APN
• Charica M Bowen, MASSAGE THERAPIST

• Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.