MEDICARE: DANA S HOWELL PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	906822	MS
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ01317700	NJ
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	905067	MS

General Provider Information

NPI Number	:	1013674084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA S HOWELL PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 13
Second Line	:
City	:	OAKLAND
State	:	MS
Zip	:	38948-0013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	297 COUNTY ROAD 244
Second Line	:
City	:	ETTA
State	:	MS
Zip	:	38627-9523
Country	:	US
Telephone Number	:	--
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	09/26/2023

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Directions to “ DANA S HOWELL PMHNP” Practice Location

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