Tabitha Bowman, PMHNP | |
1222 W Northwood St, Greensboro, NC 27408-8017 | |
(980) 253-5136 | |
Not Available |
Full Name | Tabitha Bowman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 2 Years |
Location | 1222 W Northwood St, Greensboro, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780252767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 315752 (North Carolina) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 501639 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifesource Of North Carolina | 7416132428 | 154 |
Entity Name | Lifesource Of North Carolina |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
Mailing Address | Practice Location Address |
---|---|
Tabitha Bowman, PMHNP 1903 Huntington Rd, Greensboro, NC 27408-7227 Ph: () - | Tabitha Bowman, PMHNP 1222 W Northwood St, Greensboro, NC 27408-8017 Ph: (980) 253-5136 |
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