Provider Demographics
NPI:1740543347
Name:BOWLING, REBEKAH ALISON (APRN)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ALISON
Last Name:BOWLING
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-202-1902
Mailing Address - Fax:501-202-1512
Practice Address - Street 1:1 LILE CT STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6239
Practice Address - Country:US
Practice Address - Phone:501-202-1902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2023-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARA03712363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics