Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Dianne Dowell

Individual provider Family Nurse Practitioner · NPI 1790485159

Amanda Dianne Dowell is a Nurse Practitioner in Vicksburg, Mississippi. Qualified in 2022, 4 years ago. Practices with Wound Care Associates LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2023
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Practice location Address checks out

2080 S Frontage Rd Ste 107
Vicksburg, MS 39180-5882
Phone: (601) 654-7070
Fax: (601) 636-6233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905868 (MS)

Record details

NPI number1790485159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing addressPo Box 1089, Hammond, LA 70404-1089

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wound Care Associates Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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