| Name: | Jimmy W. Bowlin, Jr. CRNP LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 May 2005 (20 years ago) (Companies founded in May 2005) |
| Entity Number: | 000-464-572 |
| Register Number: | 000464572 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 760 CHESTNUT STGADSDEN, AL 35901 |
Activities
HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063734671 | 2010-02-23 | 2010-02-23 | 137 HICKORY RIDGE DR, GLENCOE, AL, 359059603, US | 137 HICKORY RIDGE DR, GLENCOE, AL, 359059603, US | |||||||||||||||||
|
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| Phone | +1 256-442-5937 |
Authorized person
| Name | JIMMY W BOWLIN JR. |
| Role | OWNER |
| Phone | 2564583486 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | APN14613 |
| State | TN |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BOWLIN, JIMMY | Agent |
| Name | Role |
|---|---|
| BOWLIN, JIMMY JR | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
