Individual
KENYATTA COWAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9400 GOODMAN RD APT 3704, OLIVE BRANCH, MS 38654-1979
(662) 820-5769
Mailing address
9400 GOODMAN RD APT 3704, OLIVE BRANCH, MS 38654-1979
(662) 820-5769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COWA-NINHNZ
MS
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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