Jacob Cowan, PMHNP - Nurse Practitioner in Dittmer, MO

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Jacob Cowan, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Dittmer, Missouri. Jacob Cowan is licensed to practice in Missouri (license number 2024028653) and his current practice location is 8350 State Route 30, Dittmer, Missouri. He can be reached at his office (for appointments etc.) via phone at (636) 707-2097.

NPI number for Jacob Cowan is 1063230688 and his current mailing address is 1687 E Buena Vista St, Springfield, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063230688.

Contact Information

Jacob Cowan, PMHNP
8350 State Route 30,
Dittmer, MO 63023-1909
(636) 707-2097
Not Available

Map and Direction




Provider's Profile

Full NameJacob Cowan
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8350 State Route 30, Dittmer, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063230688
  • Provider Enumeration Date: 10/02/2024
  • Last Update Date: 10/02/2024

Medical Identifiers

Medical identifiers for Jacob Cowan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063230688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2024028653 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Cowan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Cowan, PMHNP
1687 E Buena Vista St,
Springfield, MO 65804-4359

Ph: (417) 631-9444		Jacob Cowan, PMHNP
8350 State Route 30,
Dittmer, MO 63023-1909

Ph: (636) 707-2097

Reviews and Comments


Nurse Practitioner Nurses in Dittmer, MO


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