Healthcare Provider Details

I. General information

NPI: 1508788944
Provider Name (Legal Business Name): BRANDY HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W 8TH ST
JACKSONVILLE FL
32209-6552
US

IV. Provider business mailing address

555 W 8TH ST
JACKSONVILLE FL
32209-6552
US

V. Phone/Fax

Practice location:
  • Phone: 904-244-8730
  • Fax: 904-244-8739
Mailing address:
  • Phone: 904-244-8730
  • Fax: 904-244-8739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9432526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: