Provider Demographics
NPI:1124059365
Name:DOWDA, DEBORA DEAN (FNP, APN)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:DEAN
Last Name:DOWDA
Suffix:
Gender:F
Credentials:FNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306281
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6281
Mailing Address - Country:US
Mailing Address - Phone:901-757-1175
Mailing Address - Fax:901-757-9065
Practice Address - Street 1:7378 YALE RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-3604
Practice Address - Country:US
Practice Address - Phone:901-387-0193
Practice Address - Fax:901-387-0796
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5901363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner