Healthcare Provider Details

I. General information

NPI: 1568130615
Provider Name (Legal Business Name): STEPHANIE SKYE DOWKER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8211 W STATE ROUTE 66 STE A
NEWBURGH IN
47630-2534
US

IV. Provider business mailing address

3245 MOUNT MORIAH AVE STE 10
OWENSBORO KY
42303-7834
US

V. Phone/Fax

Practice location:
  • Phone: 812-490-0463
  • Fax:
Mailing address:
  • Phone: 812-490-0463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71011527A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: