Provider Demographics
NPI:1225538358
Name:MCDOWELL, SAMANTHA ALLEN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:ALLEN
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:LEWIS
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, CRNP
Mailing Address - Street 1:1506 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2261
Mailing Address - Country:US
Mailing Address - Phone:251-424-1665
Mailing Address - Fax:251-424-1110
Practice Address - Street 1:1506 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2261
Practice Address - Country:US
Practice Address - Phone:251-424-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-081869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily