Provider Demographics
NPI:1821073024
Name:BOWMAN, JESSICA JAROSZ (PA C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:JAROSZ
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ELIZABETH
Other - Last Name:JAROSZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA C
Mailing Address - Street 1:2760 CENTURY BLVD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3359
Mailing Address - Country:US
Mailing Address - Phone:610-375-4251
Mailing Address - Fax:610-685-2870
Practice Address - Street 1:2760 CENTURY BLVD
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-3359
Practice Address - Country:US
Practice Address - Phone:610-375-4251
Practice Address - Fax:610-685-2870
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052470207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology