Healthcare Provider Details

I. General information

NPI: 1255893699
Provider Name (Legal Business Name): JOSHUA DOWNEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 SUMMAR DR
JACKSON TN
38301-3915
US

IV. Provider business mailing address

620 SKYLINE DR
JACKSON TN
38301-3923
US

V. Phone/Fax

Practice location:
  • Phone: 731-423-1932
  • Fax:
Mailing address:
  • Phone: 731-423-1932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4272
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4272
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: