Provider Demographics
NPI:1962033548
Name:BOWDEN, SARAH JACKSON (DNP CRNP FNP-C)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JACKSON
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:DNP CRNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 BELMONT AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-4506
Mailing Address - Country:US
Mailing Address - Phone:443-358-5283
Mailing Address - Fax:
Practice Address - Street 1:1310 BELMONT AVE STE 302
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-4506
Practice Address - Country:US
Practice Address - Phone:443-358-5283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR222139363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner