Individual
DR. JEREMY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4534 BONNEY RD STE B, VIRGINIA BEACH, VA 23462-3873
(757) 499-4101
(757) 260-7352
Mailing address
4534 BONNEY RD STE B, VIRGINIA BEACH, VA 23462-3873
(757) 499-4101
(757) 497-2419
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101282801
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740743053
—
VA
Enumeration date
04/12/2019
Last updated
02/26/2026
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