Provider Demographics
NPI:1477152544
Name:HOWELL, JEANNE DENISE (PMHNP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:DENISE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 SADDLEHORN DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4721
Mailing Address - Country:US
Mailing Address - Phone:814-450-3049
Mailing Address - Fax:
Practice Address - Street 1:6019 SADDLEHORN DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4721
Practice Address - Country:US
Practice Address - Phone:814-450-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020462363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health