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NPI Code Detail

MEDICARE: JACQUELINE E HOWARD N.P.

MEDICARE: JACQUELINE E HOWARD N.P.
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
1363L00000XNurse Practitioner966037GA
2363LF0000XFamily Nurse Practitioner13915TN

General Provider Information

NPI Number : 1356335459
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE E HOWARD N.P.
Provider Business Mailing Address
First Line : 814 N KENTUCKY ST
Second Line :
City : KINGSTON
State : TN
Zip : 37763-2635
Country : US
Telephone Number : 865-647-3280
Fax Number : 865-647-3289
Provider Business Practice Location Address
First Line : 814 N KENTUCKY ST
Second Line :
City : KINGSTON
State : TN
Zip : 37763-2635
Country : US
Telephone Number : 865-647-3280
Fax Number : 865-647-3289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 06/07/2016

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Directions to “ JACQUELINE E HOWARD N.P.” Practice Location

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