Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Lisa Bowden, PA

Individual provider Physician Assistant · NPI 1073630943

Anna Lisa Bowden, PA is a Physician Assistant in Nashville, Tennessee. Qualified in 2002, 24 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in California and Tennessee.

Years since qualifying
24
Licensed in
CA, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4536 Nolensville Pike Ste F
Nashville, TN 37211-4786
Phone: (615) 277-0760
Fax: (615) 277-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2549 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA16467 (CA)

Record details

NPI number1073630943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESApril 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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