Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 28198963 | IN |
N | 363LN0000X | Nurse Practitioner - Neonatal | 71003771 | IN |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 18985 | TN |
NPI | 1073840104 |
---|---|
Provider Name | Ms. Annjanette Marie Howsan |
First Address | Holly Springs, MS 38635-8358 |
Second Address | Memphis, TN 38120-2367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2009 |
Last Update Date | 03/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201050090 | (05) | IN |