MEDICARE: MS. JODY ANNE HOWELL AGNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	COA.16292-NP	OH

General Provider Information

NPI Number	:	1144637299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JODY ANNE HOWELL AGNP-C

Provider Business Mailing Address
First Line	:	1391 W 5TH AVE
Second Line	:	SUITE 260
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2902
Country	:	US
Telephone Number	:	734-790-6296
Fax Number	:

Provider Business Practice Location Address
First Line	:	1391 W 5TH AVE
Second Line	:	SUITE 260
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2902
Country	:	US
Telephone Number	:	734-790-6296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	03/31/2017

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