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NPI Code Detail

MEDICARE: DANIELLE JAWORSKI HOWELL NP

MEDICARE:   DANIELLE JAWORSKI HOWELL  NP
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
1363LF0000XFamily Nurse Practitioner17293TN

General Provider Information

NPI Number : 1366785677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE JAWORSKI HOWELL NP
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line : DEPT 978
City : MEMPHIS
State : TN
Zip : 38148-0001
Country : US
Telephone Number : 901-388-0115
Fax Number : 901-385-7924
Provider Business Practice Location Address
First Line : 2961 CANADA RD
Second Line : SUITE 105
City : LAKELAND
State : TN
Zip : 38002-4893
Country : US
Telephone Number : 901-388-0115
Fax Number : 901-385-7924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2013
Last Update Date : 10/25/2016

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Directions to “ DANIELLE JAWORSKI HOWELL NP” Practice Location

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