Provider Demographics
NPI:1932117512
Name:COX, STEPHANIE JOY (FNP)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:JOY
Last Name:COX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:JOY
Other - Last Name:DOWDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:319 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PANORA
Mailing Address - State:IA
Mailing Address - Zip Code:50216-1064
Mailing Address - Country:US
Mailing Address - Phone:641-755-2121
Mailing Address - Fax:641-755-2314
Practice Address - Street 1:319 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PANORA
Practice Address - State:IA
Practice Address - Zip Code:50216-1064
Practice Address - Country:US
Practice Address - Phone:641-755-2121
Practice Address - Fax:641-755-2314
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1082363LF0000X
IAA178945363LF0000X
CA15800363L00000X
CAFNP15800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P28857Medicare UPIN
CACJ038ZMedicare PIN