Provider Demographics
NPI:1497185458
Name:HOWELL, KOURTNEY S (ARNP)
Entity Type:Individual
Prefix:
First Name:KOURTNEY
Middle Name:S
Last Name:HOWELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KOURTNEY
Other - Middle Name:S
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:418 N UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-3035
Mailing Address - Country:US
Mailing Address - Phone:806-771-5882
Mailing Address - Fax:806-687-9002
Practice Address - Street 1:418 N UTICA AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-3035
Practice Address - Country:US
Practice Address - Phone:806-771-5882
Practice Address - Fax:806-687-9002
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124577363LF0000X
WAAP61034192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily