Healthcare Provider Details

I. General information

NPI: 1932117512
Provider Name (Legal Business Name): STEPHANIE JOY COX FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE JOY DOWDEN FNP

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 E MAIN ST
PANORA IA
50216-1064
US

IV. Provider business mailing address

319 E MAIN ST
PANORA IA
50216-1064
US

V. Phone/Fax

Practice location:
  • Phone: 641-755-2121
  • Fax: 641-755-2314
Mailing address:
  • Phone: 641-755-2121
  • Fax: 641-755-2314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberFNP15800
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number15800
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP1082
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA178945
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: