Provider Demographics
NPI:1508218108
Name:HOWELL, JASMINE JADE (LPN)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:JADE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 VLIET ST
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-2540
Mailing Address - Country:US
Mailing Address - Phone:518-221-8978
Mailing Address - Fax:
Practice Address - Street 1:33 VLIET ST
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-2540
Practice Address - Country:US
Practice Address - Phone:518-221-8978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319713164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse