IndividualActive
Antonique Bowen
NPI 1104765155 · Psychiatric/Mental Health Nurse Practitioner · Addison, IL
Provider details
- NPI number
- 1104765155
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APRN-NP305611 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1221 N Swift Rd
Addison, IL 60101-6105
Phone: (706) 664-6302
Approximate (ZIP-level) locationGet directions
Mailing address
1221 N Swift Rd
Addison, IL 60101-6105
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.