MR. JASON RANDEL BOWEN (NPI# 1306182035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306182035 |
| Entity Type | Individual |
| Full Name | MR. JASON RANDEL BOWEN |
| Credential | FNP |
| Practice Address |
1827c Simpson Highway 149 Mendenhall MS 39114-3439 |
| Mailing Address |
Po Box 333 Harrisville MS 39082-0333 |
| Practice Telephone | 6018472224 |
| Practice Fax Number | 6018472199 |
| Mailing Telephone | 6018472224 |
| Mailing Fax Number | 6018472199 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R861662 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744277 | Jason Bowen | Pharmacist | 31818 Us Highway 19 N, Palm Harbor, FL 34684-3713 | 2020-09-15 |
| 1649363391 | Jason Blake Bowen | Chiropractor | 5777 N. Fresno St., #101, Fresno, CA 93710 | 2006-10-02 |
| 1962513820 | Jason Ross Bowen | Podiatrist | 3710 Twinbrook St, Salt Lake City, UT 84109-3714 | 2006-08-31 |
| Street Address |
1827C SIMPSON HIGHWAY 149 |
| City | MENDENHALL |
| State | MS |
| Zip Code | 39114-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548460454 | Harpal Singh | Family Medicine | 1827c Simpson Highway 149, Mendenhall, MS 39114-3439 | 2007-07-19 |
| 1386946192 | Sandra Peterson Lott | Nurse Practitioner | 1827c Simpson Highway 149, Mendenhall, MS 39114-3439 | 2010-11-30 |
| 1609069962 | Simpson Community Healthcare, Inc | Clinic/Center | 1827c Simpson Highway 149, Mendenhall, MS 39114-3439 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593553 | Rita Seater Parker | Occupational Therapy Assistant | 925 West Mangum Blvd., Mendenhall, MS 39114 | 2013-08-27 |
| 1740573633 | Sheree Walters | Physical Therapy Assistant | 925 West Mangum Blvd, Mendenhall, MS 39114 | 2011-05-25 |
| 1346300423 | Amnuey M Chiemprabha Md Pa | Surgery | 820 Mangum Ave, Mendenhall, MS 39114 | 2006-12-11 |
| 1982620274 | Family Health Care Clinic, Inc. | Clinic/Center | 401 Main St N, Mendenhall, MS 39114 | 2006-07-13 |
| 1811318942 | Anna Lauren Wallace | Dietitian, Registered | 102 N. Main St., Mendenhall, MS 39114 | 2013-12-16 |
| 1639249568 | Glenn A Brien Sr. | Dentist | 122 Main St, Mendenhall, MS 39114 | 2006-11-08 |
| 1710382619 | Patriot Home Care | Respite Care | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2014-11-04 |
| 1346606191 | Jaytoria Wilkins | Chore Provider | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2016-01-09 |
| 1588106553 | 121 Medical Place, Inc | Clinic/Center | 820 Mangum Ave, Mendenhall, MS 39114-3025 | 2016-11-08 |
| 1497737571 | Bedford Care Center of Mendenhall, LLC | Skilled Nursing Facility | 925 Mangum Ave, Mendenhall, MS 39114-3026 | 2005-11-15 |
| Find all providers in zip 39114 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | MENDENHALL |
| Zip Code | 39114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.