Provider Demographics
NPI:1942351598
Name:BOWERS, JOAN ALLYSON (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:ALLYSON
Last Name:BOWERS
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 1:3155 ROYAL DR STE 125
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2430
Mailing Address - Country:US
Mailing Address - Phone:404-332-1851
Mailing Address - Fax:404-893-6745
Practice Address - Street 1:242 ELIZABETH ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-1906
Practice Address - Country:US
Practice Address - Phone:404-332-1851
Practice Address - Fax:404-893-6745
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN130531163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management