Provider Demographics
NPI:1336970557
Name:DOWDEN, FEDERIC CURTIS (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:FEDERIC
Middle Name:CURTIS
Last Name:DOWDEN
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 LONESTAR RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3137
Mailing Address - Country:US
Mailing Address - Phone:910-286-7065
Mailing Address - Fax:
Practice Address - Street 1:6107 LONESTAR RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3137
Practice Address - Country:US
Practice Address - Phone:910-286-7065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024027738363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty