Provider Demographics
NPI:1740956416
Name:BOWMAN, CHERICO MARSHA (NURSE PRACITIONER)
Entity type:Individual
Prefix:
First Name:CHERICO
Middle Name:MARSHA
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:NURSE PRACITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7087 PARKBROOK LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-7930
Mailing Address - Country:US
Mailing Address - Phone:901-238-0473
Mailing Address - Fax:
Practice Address - Street 1:1955 S 3RD ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-7713
Practice Address - Country:US
Practice Address - Phone:901-515-5800
Practice Address - Fax:901-515-5890
Is Sole Proprietor?:No
Enumeration Date:2021-08-21
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily