Provider Demographics
NPI:1659639482
Name:HOWINGTON, JESSICA (APRN- FNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:HOWINGTON
Suffix:
Gender:F
Credentials:APRN- FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 10TH ST NE
Mailing Address - Street 2:#2115
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3735
Mailing Address - Country:US
Mailing Address - Phone:706-202-7555
Mailing Address - Fax:
Practice Address - Street 1:250 10TH ST NE
Practice Address - Street 2:#2115
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3735
Practice Address - Country:US
Practice Address - Phone:706-202-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177867363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily