Provider Demographics
NPI:1407159155
Name:STOWELL, JOCELYN LEIGH (FNP)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:LEIGH
Last Name:STOWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:LEIGH
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:311 BOYD BLVD
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350
Mailing Address - Country:US
Mailing Address - Phone:219-325-4667
Mailing Address - Fax:219-326-2584
Practice Address - Street 1:311 BOYD BLVD.
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3965
Practice Address - Country:US
Practice Address - Phone:219-326-2663
Practice Address - Fax:219-326-2612
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2815650A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily