Provider Demographics
NPI:1215715743
Name:DOWDY, BRANDY (ARNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:DOWDY
Suffix:
Gender:F
Credentials:ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1862 AUBURN RD STE 118
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1618
Mailing Address - Country:US
Mailing Address - Phone:770-744-1874
Mailing Address - Fax:
Practice Address - Street 1:1862 AUBURN RD STE 118
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1618
Practice Address - Country:US
Practice Address - Phone:770-744-1874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTEMP297588363LP0808X
OR10015767363LP0808X
FLAPRN11027995363LP0808X
GARN185789363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health