Individual
KRISTIN MONSOUR COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5606 OLD CANTON RD, JACKSON, MS 39211-4217
(601) 957-3333
Mailing address
5606 OLD CANTON RD, JACKSON, MS 39211-4217
(601) 957-3333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R887745
MS
Other
Enumeration date
01/20/2015
Last updated
09/16/2019
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