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1457021354
JACQLYNE WEBER BOWMAN
KINGSPORT, TN
NPI
1457021354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 30297)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
JACQLYNE WEBER BOWMAN PMHNP-BC
1570 WAVERLY RD
KINGSPORT, TN 37664-2523
Phone number: 423-224-1300
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Mailing Address
JACQLYNE WEBER BOWMAN PMHNP-BC
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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