Healthcare Provider Details

I. General information

NPI: 1659663300
Provider Name (Legal Business Name): JEANNIE ROHMER HOWARD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9410 DUGAS DR STE 104
SAN ANTONIO TX
78245-1870
US

IV. Provider business mailing address

448 CASTROVILLE RD
SAN ANTONIO TX
78207-5147
US

V. Phone/Fax

Practice location:
  • Phone: 210-680-8081
  • Fax: 210-680-3179
Mailing address:
  • Phone: 210-434-1400
  • Fax: 210-431-7472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number738937
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: