Provider Demographics
NPI:1386416709
Name:HOWELL, JESSICA LYNN (LVN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:HOWELL
Suffix:
Gender:
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 SHADOW CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4963
Mailing Address - Country:US
Mailing Address - Phone:512-647-9946
Mailing Address - Fax:
Practice Address - Street 1:737 SHADOW CREEK BLVD
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-4963
Practice Address - Country:US
Practice Address - Phone:512-647-9946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1011324163W00000X, 163WP0200X
171WV0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No171WV0202XOther Service ProvidersContractorVehicle Modifications