Provider Demographics
NPI:1073996047
Name:DOWNING, JENNIFER ELIZABETH (NP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:DOWNING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ELIZABETH
Other - Last Name:WEFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3231 WILDLIFE TRL
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-0017
Mailing Address - Country:US
Mailing Address - Phone:260-223-2195
Mailing Address - Fax:
Practice Address - Street 1:1550 E COUNTY LINE RD STE 201
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1082
Practice Address - Country:US
Practice Address - Phone:317-355-1470
Practice Address - Fax:317-355-1475
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005484A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300054113Medicaid
INQ00369271OtherRAILROAD MEDICARE