Provider Demographics
NPI:1184358905
Name:HOWARD, JOHN JOSEPH (AGACNP-BC, APRN-CNP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:HOWARD
Suffix:
Gender:M
Credentials:AGACNP-BC, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 LAZY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-5219
Mailing Address - Country:US
Mailing Address - Phone:281-865-5181
Mailing Address - Fax:
Practice Address - Street 1:1004 LAZY OAKS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-5219
Practice Address - Country:US
Practice Address - Phone:281-865-5181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1087441363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1087441OtherAPRN-CNP LICENSE