Vicky J. Owens, FNP
Individual provider Active NPI Family Nurse Practitioner · Ava, MO
NPI 1811079734 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1811079734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 122348 (MO)
- Practice address
- 1312 North Highway 5
Ava, MO 65608 - Phone
- (417) 683-4045
- Fax
- (417) 683-6069
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 122348 | MO | Yes |
Addresses
Primary practice location
1312 North Highway 5
Ava, MO 65608
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425100203 | Medicaid | MO |
Other providers in Ava, MO
- Medical Equipment Inspection & Repair
- Mercy Clinic Springfield Communities
- April Moody
- Carolyn Marie Myers
- Andrea Naylor
- Ozark Mountain Compounding
- Ronnie H Page Jr.
- Patricia Bass Counseling LLC
- Patricia Bass Counseling LLC
- Hannah Paul
All providers in Ava, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. 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.