Healthcare Provider Details

I. General information

NPI: 1073322848
Provider Name (Legal Business Name): MEGHAN LOUISE HOWARD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN LOUISE JACKSON FNP-C

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W 11TH ST
FRONT ROYAL VA
22630-3512
US

IV. Provider business mailing address

140 W 11TH ST
FRONT ROYAL VA
22630-3512
US

V. Phone/Fax

Practice location:
  • Phone: 540-631-3700
  • Fax:
Mailing address:
  • Phone: 540-631-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024192496
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001237663
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: