Individual
JACOB COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
8350 STATE ROUTE 30, DITTMER, MO 63023-1909
(636) 707-2097
Mailing address
1687 E BUENA VISTA ST, SPRINGFIELD, MO 65804-4359
(417) 631-9444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024028653
MO
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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