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Jennifer Carol Fowler

Physician β€’ Pine Bluff, AR

Deactivated NPI 1649605452 Deactivated in NPPES Female Practitioner
Practice location in NPPES

6841 W 13th Ave
Pine Bluff, AR 716028680

Phone: 8708791051

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of May 02, 2017; the reason is not published. The records below are historical. They do not show whether Jennifer Fowler currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 11, 2013
NPI Deactivation Date May 02, 2017
NPI Active Period 2013 – 2017

Practice Location & Contact Primary Location

Practice Address

6841 W 13th Ave

Pine Bluff, AR 716028680

Telephone 8708791051
Fax 8708790118
Organization at the Same NPPES Address or Phone
Human Development And Research Services Facility NPI 1205273000

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Pine Bluff and Arkansas

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated May 02, 2017

NPPES lists this NPI as deactivated as of May 02, 2017; the reason is not published.

βœ…
NPI Profile Active September 11, 2013

NPI status registered as active in NPPES database

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Practice Location (Initial Record) September 11, 2013

Registered at 6841 W 13TH AVE, PINE BLUFF, AR 716028680 (Tel: 8708791051)

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Business Mailing Address (Initial Record) September 11, 2013

Registered at 6841 W 13TH AVE, PINE BLUFF, AR 716028680 (Tel: 8708791051)

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2013

Recorded as JENNIFER FOWLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2013

Substance Abuse Rehabilitation Facility

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Initial NPI Registration & Enumeration September 11, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649605452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2013
Last Update: September 11, 2013
Deactivation Date: May 02, 2017

Mailing Address

6841 W 13th Ave

Pine Bluff, AR 716028680

Phone: 8708791051

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.