Provider Demographics
NPI:1588443543
Name:DOWDELL, JANIA KENYA-ASHLEY (CNA)
Entity type:Individual
Prefix:
First Name:JANIA
Middle Name:KENYA-ASHLEY
Last Name:DOWDELL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 N WILMOT RD APT 2203
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3052
Mailing Address - Country:US
Mailing Address - Phone:219-359-7399
Mailing Address - Fax:
Practice Address - Street 1:1901 N WILMOT RD APT 2203
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3052
Practice Address - Country:US
Practice Address - Phone:219-359-7399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ297897376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide