HALEY JEANETTE BOWDEN (NPI# 1639575384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639575384 |
| Entity Type | Individual |
| Full Name | HALEY JEANETTE BOWDEN |
| Credential | APRN |
| Practice Address |
105 St Hwy 1947 A Grayson KY 41143-6825 |
| Mailing Address |
Po Box 1595 Ashland KY 41105-1595 |
| Practice Telephone | 6064750152 |
| Practice Fax Number | 6064744240 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008827 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
16660-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0116292 | 05 | |
| WV | 3910006415 | 05 | |
| KY | 7100341150 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12470 State Route 60, Ashland, KY 41102 | 6064086303 | |
| 399 Diederich Blvd, Ashland, KY 411017007 | 6063248060 |
| Street Address |
105 ST HWY 1947 A |
| City | GRAYSON |
| State | KY |
| Zip Code | 41143-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1902414659 | Brittany Mckenzie | Counselor | 411 Cribbs Hill, Grayson, KY 41143 | 2020-07-20 |
| 1184175564 | Ashland Hospital Corporation | Physician Assistant | 13321 St Rt 2, Grayson, KY 41143 | 2016-10-20 |
| 1467800730 | Allison Horsley | Pharmacist | 600 Cw Stevens Blvd, Grayson, KY 41143 | 2016-05-27 |
| 1083896328 | Little Sandy District Health Department | Public Health or Welfare | Hitchins Rd, Grayson, KY 41143 | 2007-11-28 |
| 1396943890 | Karen Riffe Buckler | Nutritionist | Courthouse Main Street, Little Sandy District Health Dept, Grayson, KY 41143 | 2007-07-05 |
| 1053533638 | Community Presence, Inc. | Counselor | 1758 East Midland Trail, Grayson, KY 41143 | 2007-05-03 |
| 1811051113 | Allen Edward Hall | Counselor | 35 Raintree Lane, Grayson, KY 41143 | 2006-12-20 |
| 1487761243 | Sanjiv Gupta | Internal Medicine | 300 State Highway 1947, Grayson, KY 41143 | 2006-08-25 |
| 1679610562 | Glenda Mcglone | Counselor | 840 Interstate Dr, Grayson, KY 41143 | 2007-01-31 |
| Find all providers in zip 41143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026110 | Maryellen Tussey | Nurse Practitioner | 81 Riverwood Dr, Grayson, KY 41143-1747 | 2020-09-06 |
| 1336761378 | Miriam Etienne | Nurse Practitioner | 1021 Reddy Farm Rd, Grayson, GA 30017-1754 | 2020-05-13 |
| 1942834908 | United Health and Wellness Services, LLC | Nurse Practitioner | 501 Starling View Cir, Grayson, GA 30017-7935 | 2020-02-28 |
| 1609409663 | Mary-ann Obiageli Aghadiuno | Nurse Practitioner | 2741 Stony Place Ct, Grayson, GA 30017-4266 | 2020-02-18 |
| 1932739554 | Leland Jay Sexton Jr. | Nurse Practitioner | 224 Greenbriar Dr, Grayson, KY 41143-1746 | 2020-01-23 |
| 1649742412 | Rozina Thobani | Nurse Practitioner | 2425 Trillium View Dr, Grayson, GA 30017-1457 | 2018-12-18 |
| 1245715903 | Modupe Agbeyomi | Nurse Practitioner | 2703 Trip Hollow Way, Grayson, GA 30017-7846 | 2018-09-28 |
| 1073091831 | Laqunita Smith | Nurse Practitioner | 2126 Leafmore Ct, Grayson, GA 30017-4328 | 2018-08-03 |
| 1013495282 | Larresia Hairston Williamson | Nurse Practitioner | 413 Silvertop Dr, Grayson, GA 30017-4192 | 2018-07-31 |
| 1265928766 | Nathana D Hall | Nurse Practitioner | 123 Womack Rd, Grayson, KY 41143-1237 | 2018-07-08 |
| Find all providers in GRAYSON | ||||
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| 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.