Healthcare Provider Details

I. General information

NPI: 1669398590
Provider Name (Legal Business Name): DOWDY WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 HABERDEEN DR
WILMINGTON NC
28411-8980
US

IV. Provider business mailing address

6907 HABERDEEN DR
WILMINGTON NC
28411-8980
US

V. Phone/Fax

Practice location:
  • Phone: 657-423-6284
  • Fax:
Mailing address:
  • Phone: 657-423-6284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN DOWDY
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 657-423-6284