Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB COWAN, PMHNP
ActiveJACOB COWAN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in DITTMER, Missouri. NPI 1063230688 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · DITTMER, MO
Registration Details
- NPI Number
- 1063230688
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2024 (1.834177959598 yrs)
- Last Updated
- Oct 2, 2024
- License
-
2024028653 (MO)
Practice Information
- Address
-
8350 STATE ROUTE 30DITTMER, MO, 630231909Browse MO providers · Browse ZIP 63023
- Phone
- 6367072097
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.