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Individual

MS. JENNIFER LYNN OWINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2025 MORSE AVE, NEUROSURGERY DEPARTMENT, SACRAMENTO, CA 95825-2115
(925) 628-5778
Mailing address
3187 ALDRIDGE WAY, EL DORADO HILLS, CA 95762-9513
(925) 628-5778

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18393
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA18393
LICENSE
CA
01
PA9103283
LICENSE
FL
Enumeration date
10/27/2005
Last updated
02/11/2022
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