Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqlyne Weber Bowman, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457021354

Jacqlyne Weber Bowman, PMHNP-BC is a Nurse Practitioner in Kingsport, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2021, 5 years ago. Practices with Frontier Health, a 69-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
5
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1570 Waverly Rd
Kingsport, TN 37664-2523
Phone: (423) 224-1300
Fax: (423) 224-1375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 30297 (TN)

Record details

NPI number1457021354
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Frontier Health — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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