Provider Demographics
NPI:1528394848
Name:BOWEN, NANCY HODGES (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:HODGES
Last Name:BOWEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:E
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7000 WELLNESS WAY, SUITE 130
Mailing Address - Street 2:
Mailing Address - City:ST. SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522
Mailing Address - Country:US
Mailing Address - Phone:912-638-4855
Mailing Address - Fax:912-638-8302
Practice Address - Street 1:7000 WELLNESS WAY, SUITE 130
Practice Address - Street 2:
Practice Address - City:ST. SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522
Practice Address - Country:US
Practice Address - Phone:912-638-4855
Practice Address - Fax:912-638-8302
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN173597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily