Jennifer Lynn Owen
Individual provider Active NPI Registered Nurse · Spencer, OH
NPI 1093009763 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1093009763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 397754 (OH)
- Practice address
- 27440 West Rd
Spencer, OH 44275-9408 - Phone
- (440) 320-6042
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 397754 | OH | MD | Registered Nurse |
| 136121 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 397754 | OH | Yes |
| Licensed Practical Nurse | 164W00000X | 136121 | OH |
Addresses
Primary practice location
27440 West Rd
Spencer, OH 44275-9408
Mailing address
27440 West Rd
Spencer, OH 44275-9408
Phone (440) 320-6042
Other providers in Spencer, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.