Provider Demographics
NPI:1235605726
Name:HOWELL, SHAWN LYNN (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:LYNN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15495 N 247 RD
Mailing Address - Street 2:
Mailing Address - City:OKMULGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74447-7969
Mailing Address - Country:US
Mailing Address - Phone:918-521-7111
Mailing Address - Fax:
Practice Address - Street 1:15495 N 247 RD
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-7969
Practice Address - Country:US
Practice Address - Phone:918-733-1351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022179363LF0000X
OK78808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily