Healthcare Provider Details

I. General information

NPI: 1861012874
Provider Name (Legal Business Name): JAIME FLOYD HOWELL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 TOMMY STALNAKER DR STE 200
WARNER ROBINS GA
31088-8034
US

IV. Provider business mailing address

6501 PEAKE RD STE 1000
MACON GA
31210-8052
US

V. Phone/Fax

Practice location:
  • Phone: 478-787-4728
  • Fax:
Mailing address:
  • Phone: 478-787-4728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number213877
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number213877
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: