Provider Demographics
NPI:1295900215
Name:DOWNER, NEELEY ANN (PHAMD)
Entity type:Individual
Prefix:
First Name:NEELEY
Middle Name:ANN
Last Name:DOWNER
Suffix:
Gender:F
Credentials:PHAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 YELLOWSTONE LN
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-8287
Mailing Address - Country:US
Mailing Address - Phone:865-384-2038
Mailing Address - Fax:
Practice Address - Street 1:10703 DUTCHTOWN RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3208
Practice Address - Country:US
Practice Address - Phone:865-675-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000011566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist