Provider Demographics
NPI:1457504052
Name:OWENS, CARMEN S (FNP-C)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:S
Last Name:OWENS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 W NEWBERRY RD STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4470
Mailing Address - Country:US
Mailing Address - Phone:352-240-6048
Mailing Address - Fax:
Practice Address - Street 1:7011 W NEWBERRY RD STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4470
Practice Address - Country:US
Practice Address - Phone:352-240-6048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9203682163W00000X
TN28453363LF0000X
FL11017112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse