Provider Demographics
NPI:1659763118
Name:DOWNING, CORIE M (NP)
Entity Type:Individual
Prefix:MS
First Name:CORIE
Middle Name:M
Last Name:DOWNING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CORIE
Other - Middle Name:A
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3087
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-3087
Mailing Address - Country:US
Mailing Address - Phone:985-230-7870
Mailing Address - Fax:985-230-7676
Practice Address - Street 1:15813 PAUL VEGA MD DR
Practice Address - Street 2:SUITE 300A
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1426
Practice Address - Country:US
Practice Address - Phone:985-230-7870
Practice Address - Fax:985-230-7676
Is Sole Proprietor?:No
Enumeration Date:2015-02-20
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily