Healthcare Provider Details

I. General information

NPI: 1295900215
Provider Name (Legal Business Name): NEELEY ANN DOWNER PHAMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10703 DUTCHTOWN RD
KNOXVILLE TN
37932-3208
US

IV. Provider business mailing address

300 YELLOWSTONE LN
LENOIR CITY TN
37771-8287
US

V. Phone/Fax

Practice location:
  • Phone: 865-675-6444
  • Fax:
Mailing address:
  • Phone: 865-384-2038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0000011566
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: