Provider Demographics
NPI:1063861862
Name:HOWELL, HEATHER WALKER (FNP-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:WALKER
Last Name:HOWELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7067 VETERANS PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-5128
Mailing Address - Country:US
Mailing Address - Phone:205-884-9000
Mailing Address - Fax:205-884-8111
Practice Address - Street 1:1956 RAINBOW DR
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5567
Practice Address - Country:US
Practice Address - Phone:256-438-5839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-141305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily