Individual
JEFFREY BRIAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP, RN
Contact information
Practice address
245 AVENUE C, APT MB, NEW YORK, NY 10009-2516
(901) 674-6737
Mailing address
245 AVENUE C, APT MB, NEW YORK, NY 10009
(901) 674-6737
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403826-01
NY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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