Provider Demographics
NPI:1952853350
Name:DOWNING, BRENT ALLEN (RN, BSN, NP-C)
Entity Type:Individual
Prefix:
First Name:BRENT
Middle Name:ALLEN
Last Name:DOWNING
Suffix:
Gender:M
Credentials:RN, BSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 NEWARK GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43023-9169
Mailing Address - Country:US
Mailing Address - Phone:740-587-0870
Mailing Address - Fax:740-587-0878
Practice Address - Street 1:1945 NEWARK GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:OH
Practice Address - Zip Code:43023-9169
Practice Address - Country:US
Practice Address - Phone:740-587-0870
Practice Address - Fax:740-587-0878
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily