Provider Demographics
NPI:1326828534
Name:JENNIFER A BOWMAN DNP PMHNP LLC
Entity Type:Organization
Organization Name:JENNIFER A BOWMAN DNP PMHNP LLC
Other - Org Name:SOUTHPOINTE PSYCHIATRY & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:724-399-3931
Mailing Address - Street 1:135 TECHNOLOGY DR STE 204
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9549
Mailing Address - Country:US
Mailing Address - Phone:724-399-3931
Mailing Address - Fax:724-618-3853
Practice Address - Street 1:135 TECHNOLOGY DR STE 204
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-9549
Practice Address - Country:US
Practice Address - Phone:724-399-3931
Practice Address - Fax:724-618-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty