Individual
JESSICA MCCOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
941 HARVEST RIDGE DR, AVON, IN 46123-7142
(317) 456-2454
Mailing address
941 HARVEST RIDGE DR, AVON, IN 46123-7142
(317) 456-2454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28125182A
IN
163WE0003X
Emergency Registered Nurse
Primary
28125182A
IN
163WN1003X
Nutrition Support Registered Nurse
28125182A
IN
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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