Individual
JACK D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN RD, GROUND FLOOR, JOHNSON CITY, TN 37604-6056
(423) 439-7320
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7320
(423) 439-7343
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
16764
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
42801
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121969
—
MS
05
—
0121969
—
MS
05
—
Q073340
—
TN
Enumeration date
10/27/2006
Last updated
01/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us