Provider Demographics
NPI:1114393717
Name:BOWDEN, ALLISON DANIELLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:DANIELLE
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 OLD OAK DR
Mailing Address - Street 2:
Mailing Address - City:FORSYTH
Mailing Address - State:GA
Mailing Address - Zip Code:31029-4257
Mailing Address - Country:US
Mailing Address - Phone:678-371-1248
Mailing Address - Fax:
Practice Address - Street 1:310 OLD OAK DR
Practice Address - Street 2:
Practice Address - City:FORSYTH
Practice Address - State:GA
Practice Address - Zip Code:31029-4257
Practice Address - Country:US
Practice Address - Phone:678-371-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN155386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily