Provider Demographics
NPI:1538571831
Name:DOWNS, JESSICA M (RN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:DOWNS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 BURNING TREE RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55810
Mailing Address - Country:US
Mailing Address - Phone:218-733-0707
Mailing Address - Fax:218-733-0717
Practice Address - Street 1:4815 BURNING TREE RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55810
Practice Address - Country:US
Practice Address - Phone:218-733-0707
Practice Address - Fax:218-733-0717
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR156959-5163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health