Individual
JENNY M OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
283 S BUTLER ROAD, MT GRETNA, PA 17064
(717) 273-8871
Mailing address
283 S BUTLER ROAD, MT GRETNA, PA 17064
(717) 273-8871
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-27814
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014216360001
—
PA
Enumeration date
07/10/2006
Last updated
07/08/2007
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