Individual
MRS. MAKISHA TAMSEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1-2539 R MILLER STREET PUBLIC HEALTH CLINIC, FORT LIBERTY, NC 28310-1013
(109) 079-7189
(910) 432-5812
Mailing address
1-2539 R MILLER STREET PUBLIC HEALTH CLINIC, FORT BRAGG, NC 28310-0001
(910) 907-9718
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06408
NC
363AM0700X
Medical Physician Assistant
01227
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538285077
—
WV
Enumeration date
03/22/2007
Last updated
10/02/2025
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