Doctor Name: | MRS. AUDRA BRYNN DOWNS |
NPI Number: | 1104142975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.P.N.P |
License Number: | 0000014904 |
Business Practice Address: | 2028 W Poplar Ave Ste 112 Collierville, TN - 380170618 |
Business Phone Number: | 9018545455 |
Business Fax Number: | |
Mailing Address: | 2028 W Poplar Ave Ste 112, COLLIERVILLE |
State: | TN |
Postal Code: | 380170618 |
Phone Number: | 9018545455 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 0000014904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |