Provider Demographics
NPI:1891026522
Name:DOWNERD, NANCY JO (CNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JO
Last Name:DOWNERD
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Gender:F
Credentials:CNP
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Mailing Address - Street 1:3300 OAKDALE AVE NO
Mailing Address - Street 2:NORTH MEMORIAL MEDICAL CENTER
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422
Mailing Address - Country:US
Mailing Address - Phone:763-520-2658
Mailing Address - Fax:763-520-5596
Practice Address - Street 1:3300 OAKDALE AVE NO
Practice Address - Street 2:NORTH MEMORIAL MEDICAL CENTER
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422
Practice Address - Country:US
Practice Address - Phone:763-520-2658
Practice Address - Fax:763-520-5596
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-02-02
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Provider Licenses
StateLicense IDTaxonomies
MNR080746-5363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner