Individual
MRS. MAKISHA TAMSEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
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
06/17/2026
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