Provider Demographics
NPI:1629278213
Name:HOWELL, CHERISSE MARIE (CNM)
Entity type:Individual
Prefix:MRS
First Name:CHERISSE
Middle Name:MARIE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9103 SNIPE LN
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-5161
Mailing Address - Country:US
Mailing Address - Phone:917-605-3703
Mailing Address - Fax:
Practice Address - Street 1:1874 PIEDMONT AVE NE STE 500E
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4878
Practice Address - Country:US
Practice Address - Phone:404-607-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN282116367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife