Provider Demographics
NPI:1659663300
Name:HOWARD, JEANNIE ROHMER (FNP)
Entity Type:Individual
Prefix:
First Name:JEANNIE
Middle Name:ROHMER
Last Name:HOWARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:448 CASTROVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5147
Mailing Address - Country:US
Mailing Address - Phone:210-434-1400
Mailing Address - Fax:210-431-7472
Practice Address - Street 1:9410 DUGAS DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1870
Practice Address - Country:US
Practice Address - Phone:210-680-8081
Practice Address - Fax:210-680-3179
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX738937363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX285111501Medicaid
TX285111501Medicaid