Provider Demographics
NPI:1689886236
Name:BOWEN, PENNY JEAN (RN)
Entity Type:Individual
Prefix:MS
First Name:PENNY
Middle Name:JEAN
Last Name:BOWEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 BRECKENRIDGE
Mailing Address - Street 2:GREEN RIVER DISTRICT HEALTH DEPT
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42302
Mailing Address - Country:US
Mailing Address - Phone:270-686-7747
Mailing Address - Fax:270-686-5982
Practice Address - Street 1:1600 BRECKENRIDGE
Practice Address - Street 2:GRDHD
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42302
Practice Address - Country:US
Practice Address - Phone:270-686-7747
Practice Address - Fax:270-686-5982
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRN1030737163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management