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

Jeta Laurie Bowman, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1366899288

Jeta Laurie Bowman, AGNP is a Nurse Practitioner in Tyler, Texas. Qualified in 2015, 11 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

520 Douglas Blvd
Tyler, TX 75702
Phone: (903) 606-1721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 Douglas Blvd, Tyler, TX 75702 — (903) 606-1721

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP130960 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP130960 (TX)

Record details

NPI number1366899288
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESJuly 1, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Tyler