Basic Information
Provider Information
NPI: 1932279429
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOWSER
FirstName: AMY
MiddleName: LYNN
NamePrefix: MRS.
NameSuffix:  
Credential: APRN, ANP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 131 SAUNDERSVILLE RD
Address2: SUITE 160
City: HENDERSONVILLE
State: TN
PostalCode: 370758903
CountryCode: US
TelephoneNumber: 6158243737
FaxNumber: 8555404722
Practice Location
Address1: 405 STEAM PLANT RD
Address2: SUITE 200
City: GALLATIN
State: TN
PostalCode: 370663027
CountryCode: US
TelephoneNumber: 6158243737
FaxNumber: 8882950304
Other Information
ProviderEnumerationDate: 11/09/2006
LastUpdateDate: 08/31/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPN000010654TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LA2200XAPN000010654TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
163W00000XRN143885TNN Nursing Service ProvidersRegistered Nurse 

ID Information
IDTypeStateIssuerDescription
334148805TN MEDICAID
023182801WAWASHINGTON STATE DEPARTMENT OF LABOROTHER
62-182561201TNHUMANA CHOICE CAREOTHER
62182561201TNSIGNATURE HEALTH ALLIANCEOTHER
62182561201TNUSA MCOOTHER
SSN01TNHUMANA MILITARY - TRICARE STANDARD-SOUTH REGIONOTHER
62-182561201TNCIGNA HEALTHCAREOTHER
62182561201TNUNITED HEALTHCAREOTHER
62182561201TNCENTER CAREOTHER
62182561201TNPRIME HEALTH SERVICESOTHER
417320901TNBCBSOTHER
62182561201TNBLUEGRASS FAMILY HEALTHOTHER
SSN01TNHEALTH NET FEDERAL SERVICESOTHER
62-182561201TNEMPLOYERS HEALTH NETWORKOTHER
62182561201 BEECH STREETOTHER
SSN01TNHUMANA MILITARY - TRICARE PRIMEOTHER


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