Provider Demographics
NPI:1376011460
Name:DOWNING, JULIE DEVAUGHN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DEVAUGHN
Last Name:DOWNING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 MULL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-9778
Mailing Address - Country:US
Mailing Address - Phone:704-418-4227
Mailing Address - Fax:
Practice Address - Street 1:2041 WILLOW RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-3831
Practice Address - Country:US
Practice Address - Phone:336-272-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011181363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner