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NPI Code Detail

MEDICARE: JERI DOWNEY FNP

MEDICARE: JERI DOWNEY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianAPRN.CNP.0030755OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.0030755OH

General Provider Information

NPI Number : 1528714888
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERI DOWNEY FNP
Provider Business Mailing Address
First Line : 1 PRESTIGE PL STE 550
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-6115
Country : US
Telephone Number : 937-762-1310
Fax Number : 937-522-8068
Provider Business Practice Location Address
First Line : 7700 WASHINGTON VILLAGE DR STE 120
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4071
Country : US
Telephone Number : 937-425-4144
Fax Number : 937-425-4146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2022
Last Update Date : 09/13/2024

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