Provider Demographics
NPI:1053932806
Name:BOWEN, SABRINA NANNETTEE (NP)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:NANNETTEE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2861 MADISON 7400
Mailing Address - Street 2:
Mailing Address - City:HINDSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72738-8903
Mailing Address - Country:US
Mailing Address - Phone:479-790-0810
Mailing Address - Fax:
Practice Address - Street 1:5800 C W POST RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-9602
Practice Address - Country:US
Practice Address - Phone:870-933-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR124246363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily