Provider Demographics
NPI:1710790886
Name:DOWNER, JAMIE LEA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LEA
Last Name:DOWNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16554 FRUIT RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:KENT CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49330-9754
Mailing Address - Country:US
Mailing Address - Phone:616-299-9140
Mailing Address - Fax:
Practice Address - Street 1:784 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:KALKASKA
Practice Address - State:MI
Practice Address - Zip Code:49646-5121
Practice Address - Country:US
Practice Address - Phone:232-258-8681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist