Individual
MRS. JENNIFER L DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
431 RED OAK LN, HAUGHTON, LA 71037-9075
(318) 294-4799
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
796248
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06371
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280427001
—
TX
01
—
8266UB
BCBS
TX
01
—
P00933621
MEDICARE RR
TX
01
—
TIN PLUS 015
TRICARE
TX
Enumeration date
03/03/2011
Last updated
12/30/2024
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