Provider Demographics
NPI:1811138621
Name:DOWD, MICHELLE R (PA)
Entity type:Individual
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First Name:MICHELLE
Middle Name:R
Last Name:DOWD
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Gender:F
Credentials:PA
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Mailing Address - Street 1:131 SAUNDERSVILLE ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:855-540-4722
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 217
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-824-3737
Practice Address - Fax:855-540-4722
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2017-10-17
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Provider Licenses
StateLicense IDTaxonomies
TNPA 816363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
103I974511Medicare PIN