Jessica Bowman, FNP-BC | |
26136 Us Highway 59, Fairfax, MO 64446-9105 | |
(660) 686-2211 | |
Not Available |
Full Name | Jessica Bowman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 26136 Us Highway 59, Fairfax, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083367817 | NPI | - | NPPES |
PENDING | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2021046379 (Missouri) | Primary |
Entity Name | Liberty Hospital Urgent Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558778373 PECOS PAC ID: 3375866163 Enrollment ID: O20141231001624 |
Mailing Address | Practice Location Address |
---|---|
Jessica Bowman, FNP-BC 9649 County Road 73, Fillmore, MO 64449-9183 Ph: (816) 387-1519 | Jessica Bowman, FNP-BC 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 |
Rebecca Heits, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Ms. Allison Godchaux, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 E Main St, Fairfax, MO 64446 Phone: 660-686-2211 | |
Theresa Lee Crawford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Hwy 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2522 | |
Katrina Renee Lock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Miss Melissa Sue Masonbrink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Ms. Condra M Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 |