NPI age
10 years
Enumerated 2016-05-20
● Active
Type 1 · Individual
Jeta Laurie Bowman, AGNP
Bowman is 1 of 6 nurse practitioner providers in Tyler and 1 of 1243 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-07-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1243 active nurse practitioner providers in Texas.
NPI age
10 years
≈ at median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 39% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
520 Douglas Blvd
Tyler, TX 75702
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
1 secondary location on file with NPPES.
Location 2
520 Douglas Blvd
Tyler, TX 75702
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 381618302 | |
| 01 (TX) | P02223408 | MEDICARE RAIL ROAD |
| 01 (TX) | 787876 | MEDICARE |
Practice context
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1243 Nurse Practitioner providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.