Provider Demographics
NPI:1285827915
Name:HOWELL, JESSICA B (PMHNP,BC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:B
Last Name:HOWELL
Suffix:
Gender:F
Credentials:PMHNP,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 WORCESTER ST # 1007
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2087
Mailing Address - Country:US
Mailing Address - Phone:401-523-1221
Mailing Address - Fax:612-500-4643
Practice Address - Street 1:881 WORCESTER ST # 1007
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2087
Practice Address - Country:US
Practice Address - Phone:401-523-1221
Practice Address - Fax:612-500-4643
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268024363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health