Healthcare Provider Details

I. General information

NPI: 1184589582
Provider Name (Legal Business Name): JAMARR ANTONE HOWARD II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 HARNEY ST STE 708
OMAHA NE
68102-2314
US

IV. Provider business mailing address

7107 S 145TH ST APT 25
OMAHA NE
68138-6912
US

V. Phone/Fax

Practice location:
  • Phone: 402-671-4117
  • Fax:
Mailing address:
  • Phone: 402-690-9498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: