Provider Demographics
NPI:1891058731
Name:BOWLING, WHITNEY JO (APRN)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JO
Last Name:BOWLING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2659 NORTH LAUREL ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST BERNSTADT
Mailing Address - State:KY
Mailing Address - Zip Code:40729-0495
Mailing Address - Country:US
Mailing Address - Phone:606-843-6195
Mailing Address - Fax:606-843-6222
Practice Address - Street 1:2659 NORTH LAUREL ROAD
Practice Address - Street 2:
Practice Address - City:EAST BERNSTADT
Practice Address - State:KY
Practice Address - Zip Code:40729-0495
Practice Address - Country:US
Practice Address - Phone:606-843-6195
Practice Address - Fax:606-843-6222
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007475363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner