Provider Demographics
NPI:1497221154
Name:OWNBEY, CHRISTINA (PNP-PC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:OWNBEY
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 N BORCHERDING RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-7455
Mailing Address - Country:US
Mailing Address - Phone:812-599-8946
Mailing Address - Fax:
Practice Address - Street 1:517 BALL DR UNIT 302
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:IN
Practice Address - Zip Code:47243-9656
Practice Address - Country:US
Practice Address - Phone:812-866-7082
Practice Address - Fax:812-866-7080
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71008496B363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics