MEDICARE: CHELSEY LOWDER RN

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
1	163W00000X	Registered Nurse	L1-0049741	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891221701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY LOWDER RN

Provider Business Mailing Address
First Line	:	1900 OLEVIA ST APT 435
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-3490
Country	:	US
Telephone Number	:	302-538-8948
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 UNIVERSITY BLVD S STE A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4391
Country	:	US
Telephone Number	:	904-222-6656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	02/11/2026

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