Individual
MRS. JILLIAN ANNE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15190 COMMUNITY RD STE 240, GULFPORT, MS 39503-3483
(228) 575-7104
(228) 539-6766
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R885680
MS
Other
Enumeration date
02/02/2015
Last updated
03/01/2023
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