Provider Demographics
NPI:1902995723
Name:DOWELL, JO ANN (PHD, CRNP,PNP,FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JO
Middle Name:ANN
Last Name:DOWELL
Suffix:
Gender:F
Credentials:PHD, CRNP,PNP,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 REDWOOD BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4461
Mailing Address - Country:US
Mailing Address - Phone:614-493-6110
Mailing Address - Fax:
Practice Address - Street 1:607 HEBRON RD
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1404
Practice Address - Country:US
Practice Address - Phone:614-493-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200785363LF0000X, 363LP0200X
OHCOA.15696-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS29791Medicare UPIN