| Doctor Name: | JENIFER ELAINE FOWLER |
| NPI Number: | 1083629430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 110519 |
| Business Practice Address: | 118 E C St North Platte, NE - 691015411 |
| Business Phone Number: | 3082216068 |
| Business Fax Number: | 3082216071 |
| Mailing Address: | 118 E C St, NORTH PLATTE |
| State: | NE |
| Postal Code: | 691015411 |
| Phone Number: | 3082216068 |
| Fax Number: | 3082216071 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 110519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |