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NPI Code Detail

MEDICARE: KATRINA AILENE DOWDEN NP-BC

MEDICARE: KATRINA AILENE DOWDEN NP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11043204FL

General Provider Information

NPI Number : 1043182256
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA AILENE DOWDEN NP-BC
Provider Business Mailing Address
First Line : 100 E COWPEN LAKE POINT RD
Second Line :
City : HAWTHORNE
State : FL
Zip : 32640-5702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4266 SUNBEAM RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2425
Country : US
Telephone Number : 904-268-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 05/18/2026

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