Provider Demographics
NPI:1164942355
Name:HOWARD, DEBRA LYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LYNN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:LYNN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9314 PARK WEST BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4338
Mailing Address - Country:US
Mailing Address - Phone:865-690-7677
Mailing Address - Fax:865-690-7627
Practice Address - Street 1:9314 PARK WEST BLVD STE 100
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4338
Practice Address - Country:US
Practice Address - Phone:865-690-7677
Practice Address - Fax:865-690-7627
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3251363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical