Individual provider · NPI-1
Lenora Diane Downs, NP
Nurse Practitioner, Adult Health · Memphis, TN
NPI number1790437895
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1790437895
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lenora Diane Downs
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2022
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 30966 | TN | Yes |
| 163WG0000X | Registered Nurse, General Practice | R876630 | MS |
Practice location
6025 Primacy PkwyMemphis, TN 38119-5763
Phone 901-767-1040
Mailing address
2310 Pigeon Roost RdByhalia, MS 38611-9213
Phone 901-603-9882
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