Healthcare Provider Details

I. General information

NPI: 1326981663
Provider Name (Legal Business Name): JILLIAN DOWNING RN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 MEDICAL CENTER CT
CHULA VISTA CA
91911-6617
US

IV. Provider business mailing address

751 MEDICAL CENTER CT
CHULA VISTA CA
91911-6617
US

V. Phone/Fax

Practice location:
  • Phone: 619-502-5825
  • Fax:
Mailing address:
  • Phone: 619-502-5825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number799174
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: