Amber T McDowell, RN

Individual provider Active NPI Registered Nurse · Graceville, FL

NPI 1366085813 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1366085813
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN9316156 (FL)
Practice address
5168 Ezell Rd
Graceville, FL 32440-2402
Phone
(850) 263-5500
Fax
(850) 263-1564
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9316156FLMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9316156 FL Yes

Addresses

Primary practice location

5168 Ezell Rd
Graceville, FL 32440-2402

Mailing address

PO Box 112
Sneads, FL 32460-0112
Phone (850) 263-5500

Other identifiers

IdentifierTypeStateIssuer
RN9316156OtherFLCORRECTIONAL FACILITY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address atmcdowell@wellpath.us Direct Wellpath, LLC

Other providers in Graceville, FL

All providers in Graceville, FL · Registered Nurse in Florida

Sources for this page

Verify at the official NPI Registry.