Provider Demographics
NPI:1265608079
Name:BOWSER, JARNAE LYNN
Entity type:Individual
Prefix:
First Name:JARNAE
Middle Name:LYNN
Last Name:BOWSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 PINE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-8709
Mailing Address - Country:US
Mailing Address - Phone:281-710-7795
Mailing Address - Fax:281-993-2188
Practice Address - Street 1:1502 PINE FOREST DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-8709
Practice Address - Country:US
Practice Address - Phone:281-710-7795
Practice Address - Fax:281-993-2188
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant