NPI 1295356400 · live from the CMS NPI Registry
Jeffrey Lane Bowers
Psychiatry & Neurology, Neurology in Fort Myers, FL. National Provider Identifier 1295356400, active.
NPI record
| NPI | 1295356400 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 |
| Practice phone | 239-208-2212 |
| Mailing address | 420 Delaware St Se, Minneapolis, MN 55455 |
| Enumerated | April 28, 2020 |
| Last updated | August 4, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 2025045498 (MO) |
| Hospitalist | 208M00000X | ME175719 (FL) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | ME175719 (FL) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 77837 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.