Provider Demographics
NPI:1295350189
Name:OWENS, JAMES ROATH (FNP-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROATH
Last Name:OWENS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-2001
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:2600 TOWER DR STE 418
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5782
Practice Address - Country:US
Practice Address - Phone:318-966-2001
Practice Address - Fax:318-966-2002
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2025-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA213823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily