Provider Demographics
NPI:1932279429
Name:BOWSER, AMY LYNN (APRN, ANP-C)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNN
Last Name:BOWSER
Suffix:
Gender:F
Credentials:APRN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MAPLE ROW BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3853
Mailing Address - Country:US
Mailing Address - Phone:615-824-1616
Mailing Address - Fax:615-824-1622
Practice Address - Street 1:117 MAPLE ROW BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3853
Practice Address - Country:US
Practice Address - Phone:615-824-1616
Practice Address - Fax:615-824-1622
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN143885163W00000X
TNAPN000010654363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN62-1825612OtherHUMANA CHOICE CARE
TN621825612OtherCENTER CARE
TN3341488Medicaid
TN4173209OtherBCBS
TN621825612OtherPRIME HEALTH SERVICES
TN621825612OtherBLUEGRASS FAMILY HEALTH
TN621825612OtherUNITED HEALTHCARE
TN62-1825612OtherCIGNA HEALTHCARE
TN62-1825612OtherEMPLOYERS HEALTH NETWORK
TN621825612OtherUSA MCO
TNSSNOtherHUMANA MILITARY - TRICARE STANDARD-SOUTH REGION
TNSSNOtherHEALTH NET FEDERAL SERVICES
621825612OtherBEECH STREET
TNSSNOtherHUMANA MILITARY - TRICARE PRIME
TN621825612OtherSIGNATURE HEALTH ALLIANCE
TN62-1825612OtherCIGNA HEALTHCARE
TN621825612OtherUNITED HEALTHCARE
TNSSNOtherHEALTH NET FEDERAL SERVICES