Provider Demographics
NPI:1003218280
Name:BOWMAN, JENNIFER A (DNP, MBA, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:DNP, MBA, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 TECHNOLOGY DR STE 204
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-9549
Mailing Address - Country:US
Mailing Address - Phone:724-399-3931
Mailing Address - Fax:
Practice Address - Street 1:135 TECHNOLOGY DR STE 204
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-9549
Practice Address - Country:US
Practice Address - Phone:724-399-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP014192363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health