Individual
JENNIFER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 525-5693
Mailing address
135 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 525-5693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
19911
WV
164W00000X
Licensed Practical Nurse
Primary
4703129877
MI
Other
Enumeration date
08/22/2022
Last updated
08/06/2024
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