| Doctor Name: | JANICE BOWKER |
| NPI Number: | 1447290689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.N.P. |
| License Number: | F300042 |
| Business Practice Address: | 130 North St Walton, NY - 138561218 |
| Business Phone Number: | 6078656541 |
| Business Fax Number: | 6078651964 |
| Mailing Address: | Po Box 725, COOPERSTOWN |
| State: | NY |
| Postal Code: | 133260725 |
| Phone Number: | 6078656541 |
| Fax Number: | 6078659164 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 10/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F300042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |