Individual
NANCYE KATHLEEN MCCOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
Mailing address
UMMC-DEPARTMENT OF DERMATOLOGY, 2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 815-3374
(601) 853-6307
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19930
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00588206
—
MS
01
—
P00462274
RR MEDICARE
MS
Enumeration date
10/09/2006
Last updated
10/26/2017
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