Individual
MS. JASMIN NICOLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4500
(601) 984-6028
Mailing address
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216-4500
(601) 984-6028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014737
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2013
Last updated
07/29/2016
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