Provider Information for 1417189705
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. JENNIFER STOWE LCSW
Sex: Female
NPI: 1417189705
Last Updated: 2016-08-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417189705 | ||||||||||||
| Enumeration Date | 2009-08-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1430 STEPHENS DR NE ATLANTA, GA 30329-3716 United States Phone: 404-245-6536 | Fax:404-320-7211 | ||||||||||||
| Primary Practice Address | 1430 STEPHENS DR NE ATLANTA, GA 30329-3716 United States Phone: 404-245-6536 | Fax:404-320-7211 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|