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Individual

MS. JACQUELINE OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC

Contact information

Practice address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Mailing address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F335182-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5018816
NC

Other

Enumeration date
04/29/2009
Last updated
02/06/2025
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