Individual
ANESHA M COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 988-5281
(601) 974-6241
Mailing address
203 MONTEREY DR, CLINTON, MS 39056-5735
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
810321
MS
363L00000X
Nurse Practitioner
APN0000012958
TN
363LF0000X
Family Nurse Practitioner
4028636
KY
Other
Enumeration date
10/25/2007
Last updated
01/30/2025
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