Jeta Laurie Bowman
AGNP | Nurse Practitioner - Gerontology | 10+ years Exp
520 Douglas Blvd, Tyler
Texas, 75702
903-606-1721
Jeta Laurie Bowman is a Tyler, Texas based nurse practitioner with 10 years of experience in Gerontology. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeta Laurie Bowman is AP130960 for Adult Health in Texas. Her current practice location is 520 Douglas Blvd, Tyler. Patients can reach her at 903-606-1721. Jeta Laurie Bowman is AGNP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1366899288.
Jeta Laurie Bowman is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Jeta Laurie Bowman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jeta Laurie Bowman |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | AGNP |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 520 Douglas Blvd, Tyler,
Texas, 75702 |
| Phone: | 903-606-1721 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1759667819 |
| Enrollment ID: | I20170404002497 |
| NPI Number: | 1366899288 |
| NPI Enumeration Date: | 20 May, 2016 |
| NPI Last Update On: | 01 Jul, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeta Laurie Bowman are as mentioned below.
| License Number | Specialization | State | Status | |
| AP130960 | Adult Health | Texas | Primary | |
| AP130960 | Gerontology | Texas | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jeta Laurie Bowman is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Christus Trinity Clinic (3072426741) | 954 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeta Laurie Bowman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 381618302 | Medicaid | Texas | |
| P02223408 | Other | Texas | MEDICARE RAIL ROAD |
| 787876 | Other | Texas | MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeta Laurie Bowman
Po Box 846098,
Dallas, Texas |
| Zip: | 75284-6098 |
| Phone Number: | 903-324-6400 |
Patients can reach Jeta Laurie Bowman at
520 Douglas Blvd, Tyler, Texas or can
call to book an appointment on 903-606-1721.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.