Individual
JENNIFER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15770 PAUL VEGA MD DR STE 108B, HAMMOND, LA 70403
(985) 230-7430
(985) 230-7431
Mailing address
PO BOX 2668, NORTH OAKS SHOCK TRAUMA, HAMMOND, LA 70404-2668
(985) 230-1870
(985) 230-7461
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.20691
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151142
—
LA
Enumeration date
03/18/2011
Last updated
12/29/2022
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