JORDAN BOWMAN PMHNP-C NPI 1396550547

NPI Information

  • NPI: 1396550547
  • Provider Name: JORDAN BOWMAN, PMHNP-C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 623 W SANFORD ST
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 204-0539

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NPI Details

Jordan Bowman, PMHNP-C is a psychiatric/mental health nurse practitioner in Idaho Falls, ID. Jordan Bowman, PMHNP-C NPI is 1396550547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

623 W SANFORD ST
IDAHO FALLS, ID
ZIP 83402-318
Phone: (208) 204-0539
Fax: (208) 643-5975

The enumeration date for this NPI number is 2/12/2025 and was last updated on 11/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health5871743IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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