| Jessica Bowman, FNP-BC | |
|
26136 Us Highway 59, Fairfax, MO 64446-9105 | |
| (660) 686-2211 | |
| Not Available |
| Full Name | Jessica Bowman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 26136 Us Highway 59, Fairfax, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083367817 | NPI | - | NPPES |
| PENDING | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2021046379 (Missouri) | Primary |
| Entity Name | Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942279500 PECOS PAC ID: 1557316783 Enrollment ID: O20081126000543 |
| Entity Name | Liberty Hospital Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558778373 PECOS PAC ID: 3375866163 Enrollment ID: O20141231001624 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Bowman, FNP-BC 9649 County Road 73, Fillmore, MO 64449-9183 Ph: (816) 387-1519 | Jessica Bowman, FNP-BC 26136 Us Highway 59, Fairfax, MO 64446-9105 Ph: (660) 686-2211 |
Rebecca Heits, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 | |
Ms. Allison Godchaux, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 E Main St, Fairfax, MO 64446 Phone: 660-686-2211 | |
Theresa Lee Crawford, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Hwy 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2522 | |
Katrina Renee Lock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Miss Melissa Sue Masonbrink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 | |
Ms. Condra M Anderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26136 Us Highway 59, Fairfax, MO 64446 Phone: 660-686-2211 Fax: 660-686-2618 |