Provider Demographics
NPI:1376094102
Name:DOWNES, JULIANNE (RD)
Entity Type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:
Last Name:DOWNES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14278 PARKER RD
Mailing Address - Street 2:
Mailing Address - City:HICKORY CORNERS
Mailing Address - State:MI
Mailing Address - Zip Code:49060-9711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14278 PARKER RD
Practice Address - Street 2:
Practice Address - City:HICKORY CORNERS
Practice Address - State:MI
Practice Address - Zip Code:49060-9711
Practice Address - Country:US
Practice Address - Phone:269-623-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI813497133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered