Provider Demographics
NPI:1821988858
Name:BOWENS, JOYCE
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:BOWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 E GHOLSON AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-3016
Mailing Address - Country:US
Mailing Address - Phone:662-274-3049
Mailing Address - Fax:662-274-3081
Practice Address - Street 1:153 E GHOLSON AVE
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-3016
Practice Address - Country:US
Practice Address - Phone:662-274-3049
Practice Address - Fax:662-274-3081
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care