Jerricka A Bowman | Vidalia, LA • PECOS Search

Jerricka A Bowman

Counselor

Behavioral Health & Social Service Providers

1109 Carter Street, Suite 10, Vidalia, LA 71373

PECOS Enrollment

Based on the most recent information from CMS, provider Jerricka A Bowman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:54 AM.

Profile Details

Provider ID
1932624038
Provider Type
Individual
Full Name
Bowman, Jerricka A
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/9/2017
Last Updated
7/21/2022

Contact Information

Practice Location

1109 Carter Street, Suite 10, Vidalia, LA 71373

Unlisted Fax

Mailing Location

1109 Carter St Ste 10, Vidalia, LA 71373-3227

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer