Individual
ASHLEY OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4593 LAWRENCEVILLE RD, LOGANVILLE, GA 30052-7320
(770) 466-8672
Mailing address
4593 LAWRENCEVILLE RD, LOGANVILLE, GA 30052-7320
(770) 466-8672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0000029540
TN
363L00000X
Nurse Practitioner
Primary
RN249436
GA
Other
Enumeration date
02/04/2022
Last updated
07/06/2025
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