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MS. JEANETTE OWENS MMS PA-C NPI 1255880696


NPI Information

NPI: 1255880696
Provider Name: MS. JEANETTE OWENS, MMS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: HOLY CROSS MEDICAL GROUP

PECOS Registration: Yes

Address:
2307 W BROWARD BLVD STE 200
FORT LAUDERDALE, FL
ZIP 33312
Phone: (954) 792-1010
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MS. Jeanette Owens, MMS, PA-C is a surgical physician assistant in Fort Lauderdale, FL with 8 years of experience. MS. Jeanette Owens, MMS, PA-C NPI is 1255880696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2307 W BROWARD BLVD STE 200
FORT LAUDERDALE, FL
ZIP 33312-420
Phone: (954) 792-1010
Fax: (954) 792-1199

The NPI 1255880696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 1/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical9109893FLORIDANo
2363AS0400XPhysician AssistantSurgical9109893FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.