Basic Information
| Provider Information | |||||||||
| NPI: | 1346241601 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOWMAN | ||||||||
| FirstName: | JENEE | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 PERIMETER PARK DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275608442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9842154110 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1041 NOELL LN | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | ROCKY MOUNT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 278042058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2524512700 | ||||||||
| FaxNumber: | 2524517939 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 05/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 20020152 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 200201052 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 891327K | 05 | NC | MEDICAID | 1327K | 01 | NC | BLUE CROSS BLUE SHIELD | OTHER | 0402332 | 01 | NC | UNITED HEALTH CARE ID | OTHER | C04447 | 01 | NC | MEDCOST ID | OTHER | 1142292 | 01 | NC | FIRST HEALTH INS. ID | OTHER | 2180669 | 01 | NC | AETNA ID | OTHER | 8443061 | 01 | NC | CIGNA INS. ID | OTHER |