Individual
GINA C OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S 12TH ST, MURRAY, KY 42071
(270) 759-9200
(270) 759-9966
Mailing address
1000 SOUTH 12TH STREET, FAMILY PRACTICE, MURRAY, KY 42071
(270) 759-9200
(270) 759-9966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201800838NP-PP
OR
363LF0000X
Family Nurse Practitioner
3011373
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011373
STATE APN LICENSE
KY
05
—
7100464000
—
KY
Enumeration date
06/26/2017
Last updated
10/11/2018
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