Provider Demographics
NPI:1790575041
Name:HOWELL, STEPHANIE JEAN
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:JEAN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 CHENOT TRL
Mailing Address - Street 2:
Mailing Address - City:CHINA SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:76633-2609
Mailing Address - Country:US
Mailing Address - Phone:254-709-0280
Mailing Address - Fax:
Practice Address - Street 1:307 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:MARLIN
Practice Address - State:TX
Practice Address - Zip Code:76661-2365
Practice Address - Country:US
Practice Address - Phone:254-803-3651
Practice Address - Fax:254-883-6066
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1200993363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily