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General NPI Number Information
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NPI Number | 1841738275
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Entity Type | Individual
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Provider Name | CHRISTY MICHELLE HOWARD CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 1046 DIVISION ST
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City | BILOXI
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State | MS
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Zip | 39530-2935
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Country | US
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Telephone | 228-374-2494
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Fax | 228-396-3457
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Provider Business Mailing Address
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Address Line | 161 MOUNTAIN VIEW DR
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City | ROCKY TOP
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State | TN
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Zip | 37769-3029
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Country | US
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Telephone | 865-223-4058
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 904333
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 22204
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 904333
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License Number State | MS
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