Provider Demographics
NPI:1801324033
Name:DOWNS, JAMIE LYNN (LPN)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:LYNN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:HALLADAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:109 FORD STREET
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13646
Mailing Address - Country:US
Mailing Address - Phone:315-394-0101
Mailing Address - Fax:315-394-0097
Practice Address - Street 1:109 FORD STREET
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13646
Practice Address - Country:US
Practice Address - Phone:315-394-0101
Practice Address - Fax:315-394-0097
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-01
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227912164W00000X
NY277912164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse