MEDICARE: MRS. ROCHELLE HOWELL APRN

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	363LF0000X	Family Nurse Practitioner	11032037	FL
2	363L00000X	Nurse Practitioner	APRN11032037	FL
3	363LF0000X	Family Nurse Practitioner	26NJ01341500	NJ

General Provider Information

NPI Number	:	1689384158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROCHELLE HOWELL APRN

Provider Business Mailing Address
First Line	:	105 PARK PLACE BLVD STE A
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-6870
Country	:	US
Telephone Number	:	863-419-2156
Fax Number	:	863-419-2157

Provider Business Practice Location Address
First Line	:	105 PARK PLACE BLVD STE A
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-6870
Country	:	US
Telephone Number	:	863-419-2156
Fax Number	:	863-419-2157

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

Provider Enumeration Date	:	11/25/2022
Last Update Date	:	08/22/2025

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