Provider Demographics
NPI:1215017504
Name:HOWARD, DAVID JAMES (RNP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:HOWARD
Suffix:
Gender:M
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 ROCKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TUMBLING SHOALS
Mailing Address - State:AR
Mailing Address - Zip Code:72581-9274
Mailing Address - Country:US
Mailing Address - Phone:501-681-6530
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-1709
Practice Address - Country:US
Practice Address - Phone:501-257-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR180194363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner