Provider Demographics
NPI:1235837279
Name:LOWMAN, MELISSA (APRN-CPN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:LOWMAN
Suffix:
Gender:F
Credentials:APRN-CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1202 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-5731
Mailing Address - Country:US
Mailing Address - Phone:479-595-2946
Mailing Address - Fax:479-341-1063
Practice Address - Street 1:106 WEIR RD
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72802-9445
Practice Address - Country:US
Practice Address - Phone:479-567-5652
Practice Address - Fax:479-567-5653
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR222228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily