Desiree Michelle Howley , PA-C
Physician Assistant โข Fernandina Beach, FL
1250 S 18th St Ste 202
Fernandina Beach, FL 320344729
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Desiree Howley is listed in NPPES under Physician Assistant.
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NPI assigned on April 23, 2017; this date does not establish years in practice.
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Published CMS data list 35 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 21 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,540 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 220 prescription fills, including refills.
- Amlodipine Besylate โ 148 prescription fills, including refills.
- Levothyroxine Sodium โ 132 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 71 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Fernandina Beach, FL (2024, 13 clinicians with data). Median for this group: 1,132. Middle half: 519 to 1,850.
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 54 in 2020 to 35 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1250 S 18th St Ste 202
Fernandina Beach, FL 320344729
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Baptist Cardiology, Inc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
29 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $2,347 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $1,763 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
5,838 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$197,595 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,014.30 across 79 records.
By nature of payment
- Food and Beverage: $2,014.30 across 79 records.
Reporting-company totals (3 largest of 19)
- Bayer Healthcare Pharmaceuticals Inc.: $314.25 across 16 records.
- United Therapeutics Corporation: $249.85 across 7 records.
- Abbott Laboratories: $166.43 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Desiree Howley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Desiree Howley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fernandina Beach and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Fernandina Beach, FL (2024, 13 clinicians with data). Median for this group: 1,132. Middle half: 519 to 1,850.
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Fernandina Beach, FL (2024, 13 clinicians with data). Median for this group: $69,605. Middle half: $15,237 to $94,247.
A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Fernandina Beach, FL (2024, 13 clinicians with data). Median for this group: $53,361. Middle half: $14,406 to $72,859.
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Fernandina Beach, FL (2024, 16 clinicians with data). Median for this group: 1,258. Middle half: 481 to 2,557.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Fernandina Beach, FL (2024, 16 clinicians with data). Median for this group: $39,782. Middle half: $11,699 to $187,777.
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
23 active clinicians are listed under Physician Assistant with a practice address in Fernandina Beach, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fernandina Beach
21.7% of these 23 clinicians have the CMS telehealth indicator.
65.2% of these 23 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 35% from 54 in 2020 to 35 in 2024.
- 2020: 54
- 2021: 159
- 2022: 113
- 2023: 91
- 2024: 35
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Medicare-allowed amount
Medicare-allowed amount decreased 46% from $4,314 in 2020 to $2,347 in 2024.
- 2020: $4,314
- 2021: $12,721
- 2022: $8,329
- 2023: $8,548
- 2024: $2,347
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Paid by Medicare
Paid by Medicare decreased 29% from $2,474 in 2020 to $1,763 in 2024.
- 2020: $2,474
- 2021: $8,987
- 2022: $6,142
- 2023: $5,675
- 2024: $1,763
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1019% from 227 in 2020 to 2,540 in 2024.
- 2020: 227
- 2021: 506
- 2022: 522
- 2023: 687
- 2024: 2,540
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30-day fills
30-day fills increased 1206% from 447 in 2020 to 5,838 in 2024.
- 2020: 447
- 2021: 974
- 2022: 1,098
- 2023: 1,546
- 2024: 5,838
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Part D drug cost
Part D drug cost increased 951% from $18,807 in 2020 to $197,595 in 2024.
- 2020: $18,807
- 2021: $36,249
- 2022: $30,597
- 2023: $32,648
- 2024: $197,595
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $14.45 in 2023 to $2,014.30 in 2025.
- 2023: $14.45
- 2024: $29.24
- 2025: $2,014.30
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 79 records totaling $2,014.30.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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MITRACLIP | General | $166.43 |
| Edwards Lifesciences Corporation |
Food and Beverage
In-kind items and services
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SAPIEN 3 Ultra RESILIA | General | $135.38 |
| United Therapeutics Corporation |
Food and Beverage
In-kind items and services
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โ | General | $74.99 |
| United Therapeutics Corporation |
Food and Beverage
In-kind items and services
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โ | General | $50.00 |
| Philips North America LLC |
Food and Beverage
Cash or cash equivalent
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Extended Holter | General | $36.93 |
| United Therapeutics Corporation |
Food and Beverage
In-kind items and services
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Tyvaso | General | $33.79 |
| Kestra Medical Technology Services, Inc. |
Food and Beverage
Cash or cash equivalent
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Assure WCD | General | $31.26 |
| ABIOMED |
Food and Beverage
In-kind items and services
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โ | General | $29.66 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $29.54 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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VYNDAQEL | General | $29.51 |
| United Therapeutics Corporation |
Food and Beverage
In-kind items and services
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Tyvaso | General | $27.74 |
| SCPHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
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FUROSCIX | General | $27.69 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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AMVUTTRA | General | $27.56 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $26.99 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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AMVUTTRA | General | $26.28 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
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LifeVest | General | $25.37 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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VERQUVO | General | $24.98 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $24.96 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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AMVUTTRA | General | $24.86 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $24.68 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $24.60 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $24.58 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $24.53 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $24.47 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $24.19 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
21 | 18 | $220.00 | $105.99 |
|
36415
Insertion of needle into vein for collection of blood sample
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14 | 13 | $15.00 | $8.65 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 220 | 18,605 | $1,379.22 | 130 |
| Amlodipine Besylate | Amlodipine Besylate | 148 | 11,580 | $345.67 | 81 |
| Levothyroxine Sodium | Levothyroxine Sodium | 132 | 10,450 | $1,051.29 | 68 |
| Lisinopril | Lisinopril | 124 | 10,020 | $450.34 | 63 |
| Omeprazole | Omeprazole | 97 | 7,900 | $585.80 | 55 |
| Fluticasone Propionate | Fluticasone Propionate | 94 | 5,544 | $966.62 | 60 |
| Losartan Potassium | Losartan Potassium | 90 | 7,290 | $473.97 | 45 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 77 | 5,574 | $1,028.15 | 41 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 68 | 1,910 | $2,258.58 | 39 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 65 | 5,670 | $325.33 | 38 |
| Pravastatin Sodium | Pravastatin Sodium | 60 | 4,920 | $622.35 | 34 |
| Gabapentin | Gabapentin | 56 | 3,250 | $488.58 | 37 |
| Carvedilol | Carvedilol | 51 | 4,350 | $243.80 | 27 |
| Hydrochlorothiazide | Hydrochlorothiazide | 50 | 3,930 | $233.72 | 31 |
| Pantoprazole Sodium | Pantoprazole Sodium | 48 | 4,320 | $365.15 | 28 |
| Montelukast Sodium | Montelukast Sodium | 46 | 3,867 | $263.73 | 30 |
| Metformin Hcl | Metformin Hcl | 45 | 3,390 | $188.91 | 25 |
| Furosemide | Furosemide | 42 | 2,817 | $74.97 | 18 |
| Metoprolol Succinate | Metoprolol Succinate | 38 | 3,300 | $440.07 | 22 |
| Trazodone Hcl | Trazodone Hcl | 38 | 2,474 | $200.82 | 20 |
| Escitalopram Oxalate | Escitalopram Oxalate | 37 | 2,370 | $230.30 | 19 |
| Allopurinol | Allopurinol | 35 | 2,850 | $467.66 | 17 |
| Tamsulosin Hcl | Tamsulosin Hcl | 35 | 2,845 | $294.63 | 24 |
| Sertraline Hcl | Sertraline Hcl | 32 | 2,475 | $134.54 | 19 |
| Metoprolol Tartrate | Metoprolol Tartrate | 31 | 2,580 | $108.38 | 19 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-06NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20231109000124
FL
2860750841
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Baptist Cardiology, Inc.
836 Prudential Dr, Jacksonville, FL 322078344
Phone: 9043980125
Baptist Cardiology, Inc.
1250 S 18th St, Fernandina Beach, FL 320344729
Phone: 9042619786
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner
Advanced Practice Registered Nurse
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Nurse Practitioner
Registered Nurse, Advanced Practice Registered Nurse
Nurse Practitioner
Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1250 S 18TH ST STE 202, FERNANDINA BEACH, FL 320344729 (Tel: 9042619786)
Physician Assistant (license number reported to NPPES: FL PA9117705)
Registered at 1348 S 18TH ST STE 200, FERNANDINA BEACH, FL 320344785 (Tel: 9042619786)
Registered at PO BOX 746652, ATLANTA, GA 303746652 (Tel: 9042022092)
Recorded as DESIREE HOWLEY, PA-C
Physician Assistant (license number reported to NPPES: FL PA9117705)
Registered at 1450 SADLER RD, FERNANDINA BEACH, FL 320344426 (Tel: 9044300176)
Registered at 6101 BLUE LAGOON DR STE 200, MIAMI, FL 331263168 (Tel: 3055002000)
Physician Assistant
Registered at 3333 SILAS CREEK PKWY, WINSTON SALEM, NC 271033013 (Tel: 3367185570)
Registered at PO BOX 751803, CHARLOTTE, NC 282751803
Physician Assistant (license number reported to NPPES: NC 0010-07558)
Registered at 104 W MEDICAL PARK DR, LEXINGTON, NC 272926773
Recorded as DESIREE HOWLEY
NPI status registered as active in NPPES database
Registered at 104 W MEDICAL PARK DR, LEXINGTON, NC 272926773 (Tel: 3362240931)
Registered at 3509 RAMSAY ST APT 1B, HIGH POINT, NC 272659021
Recorded as DESIREE DUBY
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Fernandina Beach
- Randall Fulford, PA-C
- Taylor Leard, PA-C
- Nicole Ortlieb
- Malcolm Hickox, PA-C
- Jessie Hiott, PA
- Robin Briggs, PA-C
Mailing Address
Po Box 746652
Atlanta, GA 303746652
Phone: 9042022092