| Doctor Name: | MRS. JENNIFER BOWMAN |
| NPI Number: | 1003218280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, MBA, PMHNP-BC |
| License Number: | SP014192 |
| Business Practice Address: | 1200 Ashwood Dr Suite 201 Canonsburg, PA - 153174982 |
| Business Phone Number: | 7248840466 |
| Business Fax Number: | 7248840467 |
| Mailing Address: | 1200 Ashwood Dr Ste 1201, CANONSBURG |
| State: | PA |
| Postal Code: | 153174982 |
| Phone Number: | 7248840466 |
| Fax Number: | 7248840467 |
| NPI Enumeration Date: | 09/19/2014 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | SP014192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |