Basic Information
Provider Information
NPI: 1407125420
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWNER
FirstName: JULIE
MiddleName: CORNELL
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 284 EXECUTIVE PARK DRIVE
Address2: SUITE 100
City: CONCORD
State: NC
PostalCode: 280251894
CountryCode: US
TelephoneNumber: 7049391100
FaxNumber: 7049391173
Practice Location
Address1: 360 BEECH ST
Address2:  
City: NEWLAND
State: NC
PostalCode: 286579670
CountryCode: US
TelephoneNumber: 8287335889
FaxNumber: 8287335889
Other Information
ProviderEnumerationDate: 12/20/2011
LastUpdateDate: 07/31/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X127529NCY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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