Porsha Owens, LPN

Individual provider Active NPI Licensed Practical Nurse · Midway, FL

NPI 1568901643 · NPPES record last updated Feb 22, 2017

Key facts

NPI
1568901643
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN5181982 (FL)
Practice address
400 Sand Pine Dr
Midway, FL 32343-4228
Phone
(850) 241-4262
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN5181982FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hands on the Move Healthcare LLC Current
since Mar 12, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5181982 FL Yes

Addresses

Primary practice location

400 Sand Pine Dr
Midway, FL 32343-4228

Mailing address

400 Sand Pine Dr
Midway, FL 32343-4228
Phone (850) 241-4262

Other providers in Midway, FL

All providers in Midway, FL · Licensed Practical Nurse in Florida

Sources for this page

Verify at the official NPI Registry.