Individual
JENNIFER WOODALL HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
312 JONESTOWN RD, WINSTON SALEM, NC 27104-4621
(336) 716-7576
(336) 702-9342
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042219
NCCPA
—
05
—
8101678
—
NC
Enumeration date
12/31/2007
Last updated
12/05/2023
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