Individual
MS. JANET CANNON OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 806-4029
Mailing address
211 OAKMONT DR, ADVANCE, NC 27006-7283
(336) 940-4255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050895
—
NC
Enumeration date
05/01/2006
Last updated
08/29/2007
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