Nakisha Renee Bowman, REGISTERED NURSE

Individual provider Active NPI Medical-Surgical Registered Nurse · Pataskala, OH

NPI 1992001937 · NPPES record last updated Jul 1, 2026

Key facts

NPI
1992001937
Entity type
Individual (NPI type 1)
Primary specialty
Medical-Surgical Registered Nurse 163WM0705X
License
RN.436871 (OH)
Practice address
101 Ashley LN
Pataskala, OH 43062-7250
Phone
(937) 609-0711
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
Yes

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
PN115371OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN.436871 OH Yes

Addresses

Primary practice location

101 Ashley LN
Pataskala, OH 43062-7250

Mailing address

101 Ashley LN
Pataskala, OH 43062-7250
Phone (937) 609-0711

Other providers in Pataskala, OH

All providers in Pataskala, OH · Medical-Surgical Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.