Provider Demographics
NPI:1487367363
Name:DOWELL, MELANIE RENEE (FNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:RENEE
Last Name:DOWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2455 INTELLIPLEX DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8535
Mailing Address - Country:US
Mailing Address - Phone:317-421-1800
Mailing Address - Fax:317-421-1898
Practice Address - Street 1:2455 INTELLIPLEX DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8535
Practice Address - Country:US
Practice Address - Phone:317-421-1800
Practice Address - Fax:317-421-1898
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71013427A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily