Provider Demographics
NPI:1003059833
Name:OWENS, BILLIE LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:LYNN
Last Name:OWENS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 WEST COLUMBUS STREET
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764
Mailing Address - Country:US
Mailing Address - Phone:740-590-4463
Mailing Address - Fax:740-753-4749
Practice Address - Street 1:226 W COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1147
Practice Address - Country:US
Practice Address - Phone:740-590-4463
Practice Address - Fax:740-753-4749
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101828374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician