Healthcare Provider Details

I. General information

NPI: 1285548370
Provider Name (Legal Business Name): JESSICA HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 KENNEDY AVE
GRAND JUNCTION CO
81501-2140
US

IV. Provider business mailing address

200 KENNEDY AVE
GRAND JUNCTION CO
81501-2140
US

V. Phone/Fax

Practice location:
  • Phone: 970-275-5508
  • Fax:
Mailing address:
  • Phone: 970-275-5508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License NumberRN.0204141
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: