NPI 1003136516

Teresa Louise Cowan, PAC

Practitioner Medical Physician Assistant Jacksonville, FL

Practice location

Address: 1200 Riverplace Blvd Suite 620, Jacksonville, FL 32207-9046
Phone: (904) 396-6620
Fax: (904) 396-6528

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9101425 (FL)

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Registry record

NPI: 1003136516
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2010
Record last updated: 26 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.