Provider Demographics
NPI:1154479202
Name:OWENS, JENNIFER S (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:S
Last Name:OWENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3786 FARRS BRIDGE RD.
Mailing Address - Street 2:SUITE E
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640
Mailing Address - Country:US
Mailing Address - Phone:864-246-5554
Mailing Address - Fax:864-246-5569
Practice Address - Street 1:3786 FARRS BRIDGE RD.
Practice Address - Street 2:SUITE E
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640
Practice Address - Country:US
Practice Address - Phone:864-246-5554
Practice Address - Fax:864-246-5569
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2403111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition