Provider Demographics
NPI:1396872040
Name:BOWMAN, PATRICIA SMITH (APRN-C, DNP)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:SMITH
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:APRN-C, DNP
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:PRESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1138 JOHNSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-4122
Mailing Address - Country:US
Mailing Address - Phone:706-207-6568
Mailing Address - Fax:
Practice Address - Street 1:135 ATHENS WEST PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6949
Practice Address - Country:US
Practice Address - Phone:706-425-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN088489 NP163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health