Provider Demographics
NPI:1639763055
Name:DOWD, CAROLINE HENDERSON (DNP)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:HENDERSON
Last Name:DOWD
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:ELAINE
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 12TH AVE S APT 433
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6618
Mailing Address - Country:US
Mailing Address - Phone:704-607-0539
Mailing Address - Fax:
Practice Address - Street 1:7097 OLD HARDING PIKE STE F
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-2800
Practice Address - Country:US
Practice Address - Phone:615-646-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000027863363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner