Provider Demographics
NPI:1952759193
Name:HOWARD, KETURIAH NASHON (NP-C)
Entity Type:Individual
Prefix:MS
First Name:KETURIAH
Middle Name:NASHON
Last Name:HOWARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4363
Mailing Address - Country:US
Mailing Address - Phone:225-376-6189
Mailing Address - Fax:225-341-3988
Practice Address - Street 1:3907 S SHERWOOD FOREST BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4363
Practice Address - Country:US
Practice Address - Phone:225-376-6189
Practice Address - Fax:225-341-3988
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08727363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily