MEDICARE: WHITNEY SUZANNE HOWELL MSN, APRN, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11026726	FL

General Provider Information

NPI Number	:	1508550161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY SUZANNE HOWELL MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	9141 CYPRESS GREEN DR STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-2006
Country	:	US
Telephone Number	:	904-472-9273
Fax Number	:	888-751-6616

Provider Business Practice Location Address
First Line	:	9141 CYPRESS GREEN DR STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-2006
Country	:	US
Telephone Number	:	904-472-9273
Fax Number	:

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

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	01/20/2026

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