Peggy L Owens, RN
Individual provider Active NPI Community Health Registered Nurse · Russellville, TN
NPI 1750628871 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1750628871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 170636 (TN)
- Practice address
- 5692 Remmington Dr
Russellville, TN 37860-9376 - Phone
- (423) 231-8887
- NPI assigned
- Jan 9, 2013
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170636 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 170636 | TN | Yes |
Addresses
Primary practice location
5692 Remmington Dr
Russellville, TN 37860-9376
Mailing address
5692 Remmington Dr
Russellville, TN 37860-9376
Phone (423) 231-8887
Other providers in Russellville, TN
- East End Pharmacy Inc
- Exceptional Care Chiropractic
- Terri Ann Maria Styles
- Katie Taylor
- Nicole Leanne Vaughn
- Richard Todd Webb
All providers in Russellville, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. 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.