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1013443191
SHASTA NICOLE BOWENS
JOHNSON CITY, TN
NPI
1013443191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3011297)
Enumeration Date
2017-05-10
Last Update Date
2024-02-26
Business Address
SHASTA NICOLE BOWENS APRN FNP-C
410 N STATE OF FRANKLIN RD STE 135
JOHNSON CITY, TN 37604-6972
Phone number: 423-431-4866
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Mailing Address
SHASTA NICOLE BOWENS APRN FNP-C
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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