JESSICA BOWDEN (NPI# 1609426352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609426352 |
| Entity Type | Individual |
| Full Name | JESSICA BOWDEN |
| Practice Address |
2300 Park Ave Ste 200 Orange Park FL 32073-5571 |
| Mailing Address |
2300 Park Ave Orange Park FL 32073-5571 |
| Practice Telephone | 4789527782 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY004197 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9992 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257628 | Jessica Ann Bowden | Nurse Practitioner | 580 W 5th St, Reno, NV 89503-4407 | 2020-02-12 |
| 1972016970 | Jessica Bowden | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638 | 2017-11-13 |
| Street Address |
2300 PARK AVE STE 200 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-5571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053463075 | Barbara Leigh Cruikshank | Family Medicine | 2300 Park Ave Ste 200, Orange Park, FL 32073-5571 | 2007-01-18 |
| 1518523836 | Kathryn Nannette Cannon | Physician Assistant | 2300 Park Ave Ste 200, Orange Park, FL 32073-5571 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659624609 | Stephanie Milne | Psychologist | 1734 Kingsley Ave Ste 2, Orange Park, FL 32073 | 2012-10-16 |
| 1467775379 | Janet Allison Anguas-keiter | Psychologist | 165 Wells Rd Ste 303, Orange Park, FL 32073-3036 | 2010-03-05 |
| 1700951688 | John R. Milligan | Psychologist | 2841 Circle Ridge Dr, Orange Park, FL 32065-5764 | 2006-11-23 |
| 1689779217 | Robin E O'hearn | Psychologist | 4605 Us Highway 17, Suite 2, Orange Park, FL 32003-7866 | 2006-09-14 |
| 1437251501 | Carole J Crane | Psychologist | 1680 Smith St, Suite 1, Orange Park, FL 32073-4852 | 2006-09-01 |
| 1982670774 | Dawn Kristine Fox | Psychologist | 358 Stiles Ave, Suite B, Orange Park, FL 32073-4012 | 2006-02-23 |
| 1548741705 | Emery Milne Psychological Group, LLC | Psychologist | 1734 Kingsley Ave Ste 2, Orange Park, FL 32073 | 2018-08-27 |
| 1467792697 | Dr Blake Bazel Phd Pa | Psychologist | 1677 Wells Rd, Suite A, Orange Park, FL 32073-6799 | 2013-02-25 |
| 1487904744 | Blake Bazel | Psychologist | 1677 Wells Rd, Suite A, Orange Park, FL 32073-6799 | 2012-09-14 |
| 1720153240 | Patricia Ann Boger | Psychologist | 1732 Kingsley Ave, Suite 1, Orange Park, FL 32073-4412 | 2006-11-21 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on JESSICA BOWDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.