Individual
DR. JODY ANN COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1213 24TH STREET, SUITE #100, ANACORTES, WA 98221-2559
(360) 293-4655
(360) 588-1041
Mailing address
6020 RICHMOND HWY, STE 102, ALEXANDRIA, VA 22303-2157
(443) 393-3653
(877) 991-8997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7939A
WY
207Q00000X
Family Medicine Physician
Primary
D0086550
MD
207Q00000X
Family Medicine Physician
MD046860
DC
207Q00000X
Family Medicine Physician
MD60132209
WA
208600000X
Surgery Physician
57012332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007259
—
WA
Enumeration date
03/21/2007
Last updated
03/27/2019
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