Individual
VICKY LYNN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11501 CUMBERLAND RD STE 500, FISHERS, IN 46037-7010
(317) 863-9300
(317) 863-9333
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(282) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001338A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200439040
—
IN
01
—
IN1125029
MEDICARE
IN
01
—
IN1126019
MEDICARE
IN
Enumeration date
07/27/2006
Last updated
05/25/2023
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