Individual
JAYNA LYNNE COWSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3411 PROFESSIONAL PARK DR, MARION, IL 62959-6394
(618) 997-2161
(618) 997-2420
Mailing address
3411 PROFESSIONAL PARK DR, MARION, IL 62959-6394
(618) 997-2161
(618) 997-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006032
IL
Other
Enumeration date
10/06/2016
Last updated
05/03/2018
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