Individual
MRS. EYITEMI OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
198 OLD FARMERS RD, CLARKSVILLE, TN 37043-4032
(931) 358-2900
(931) 358-3821
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20330
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I504891
MEDICARE PTAN
TN
Enumeration date
09/11/2015
Last updated
02/15/2017
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