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

Jordan Bowman, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396550547

Jordan Bowman, PMHNP-C is a Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

623 W Sanford St
Idaho Falls, ID 83402-1318
Phone: (208) 204-0539
Fax: (208) 643-5975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5871743 (ID)

Record details

NPI number1396550547
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-C
Sole proprietorYes
NPI enumeratedFebruary 12, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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