Healthcare Provider Details

I. General information

NPI: 1215017504
Provider Name (Legal Business Name): DAVID JAMES HOWARD RNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 FORT ROOTS DR
NORTH LITTLE ROCK AR
72114-1709
US

IV. Provider business mailing address

250 ROCKWOOD DR
TUMBLING SHOALS AR
72581-9274
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-1097
  • Fax:
Mailing address:
  • Phone: 501-681-6530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number180194
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: