Provider Demographics
NPI:1073231478
Name:BOWMAN, ASHLEY DANIELLE (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DANIELLE
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 CLAY LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-7682
Mailing Address - Country:US
Mailing Address - Phone:423-647-0404
Mailing Address - Fax:
Practice Address - Street 1:171 CLAY LITTLE RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-7682
Practice Address - Country:US
Practice Address - Phone:423-647-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32149363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty