Individual provider · Type 1 NPI

Jacob Cowan, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Dittmer, MO

NPI number 1063230688 Active

Practice location

8350 State Route 30
Dittmer, MO 63023-1909

Call (636) 707-2097 Map

Mailing address

1687 E Buena Vista St
Springfield, MO 65804-4359

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	2024028653 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Sana Lake Recovery Center, LLCSubstance Abuse Rehabilitation Facility Dittmer, MO NPI 1902462278
David Sherman, MDAddiction Medicine (Psychiatry & Neurology) Physician Dittmer, MO NPI 1740689181

Other psychiatric/mental health nurse practitioner providers in Dittmer

Michael Gerard Rutten, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Dittmer, MO NPI 1619895372

See all in Dittmer →

About NPI 1063230688

Jacob Cowan, PMHNP's National Provider Identifier is 1063230688, issued on Oct 2, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dittmer, MO. The record was last updated on Oct 2, 2024.