Individual
THELMA JANE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
61 GRASSE ST., CALICO ROCK, AR 72519-0000
(870) 297-3726
(870) 297-4161
Mailing address
PO BOX 438, CALICO ROCK, AR 72519-0438
(870) 297-3726
(870) 297-4161
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003785
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A003785
LICENSE NUMBER
AR
Enumeration date
11/01/2012
Last updated
11/09/2012
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