Individual
MRS. JOANNA MCGOWAN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CFNP
Contact information
Practice address
971 LAKELAND DR, SUITE 450, JACKSON, MS 39216-4643
(601) 948-5158
(601) 949-6058
Mailing address
971 LAKELAND DR, SUITE 450, JACKSON, MS 39216-4643
(601) 948-5158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R865985
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0606255
CERTIFICATION #
MS
01
—
R865985
LICENSURE #
MS
Enumeration date
08/03/2006
Last updated
02/04/2014
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