Provider Demographics
NPI:1376174706
Name:OWEN, CHELSEA T (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:T
Last Name:OWEN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:T
Other - Last Name:JOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:403 STONEBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9823
Mailing Address - Country:US
Mailing Address - Phone:843-790-8690
Mailing Address - Fax:229-348-8199
Practice Address - Street 1:403 STONEBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-9823
Practice Address - Country:US
Practice Address - Phone:843-790-8690
Practice Address - Fax:229-348-8199
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN204790363LP0808X, 163W00000X
MECNP201052363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse