Provider Demographics
NPI:1295439560
Name:LOWE, DA-YEMA MICARLA (PMHNP)
Entity type:Individual
Prefix:MISS
First Name:DA-YEMA
Middle Name:MICARLA
Last Name:LOWE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:79 SCENIC GULF DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-4938
Mailing Address - Country:US
Mailing Address - Phone:850-909-7417
Mailing Address - Fax:850-290-0008
Practice Address - Street 1:79 SCENIC GULF DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-4938
Practice Address - Country:US
Practice Address - Phone:850-520-7656
Practice Address - Fax:850-290-0008
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11025256363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health