Provider Demographics
NPI:1457637456
Name:OWENS, LUZ ADRIANA (APRN)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:ADRIANA
Last Name:OWENS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 BAYMEADOWS RD
Mailing Address - Street 2:SUIITE 5
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-4732
Mailing Address - Country:US
Mailing Address - Phone:904-737-0111
Mailing Address - Fax:904-737-4422
Practice Address - Street 1:4465 BAYMEADOWS RD
Practice Address - Street 2:SUITE 5
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-4732
Practice Address - Country:US
Practice Address - Phone:904-737-0111
Practice Address - Fax:904-737-4422
Is Sole Proprietor?:No
Enumeration Date:2011-10-23
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2687382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily