Provider Demographics
NPI:1578562500
Name:HOWARD, SUSAN ADAMS (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:SUSAN
Middle Name:ADAMS
Last Name:HOWARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:307 CHISUM STREET
Mailing Address - City:SICILY ISLAND
Mailing Address - State:LA
Mailing Address - Zip Code:71368-0008
Mailing Address - Country:US
Mailing Address - Phone:318-389-5727
Mailing Address - Fax:318-389-4028
Practice Address - Street 1:126 WATSON RD
Practice Address - Street 2:
Practice Address - City:WISNER
Practice Address - State:LA
Practice Address - Zip Code:71378-4660
Practice Address - Country:US
Practice Address - Phone:318-724-7008
Practice Address - Fax:318-724-7646
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03683363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1434922Medicaid
LA1434922Medicaid
LAP17672Medicare UPIN