Provider Demographics
NPI:1194295907
Name:DOWELL, JAMI JO (NP)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:JO
Last Name:DOWELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JAMI
Other - Middle Name:JO
Other - Last Name:STOGDILL/PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:15279 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-2476
Mailing Address - Country:US
Mailing Address - Phone:712-256-9192
Mailing Address - Fax:
Practice Address - Street 1:3502 METRO DR
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-7761
Practice Address - Country:US
Practice Address - Phone:712-256-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA112841363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner