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Individual

JOHNNA M COWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
200747
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
200747
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7004903
NC
Enumeration date
12/28/2005
Last updated
11/14/2023
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