Provider Demographics
NPI:1508806043
Name:OWENS, JULIE LYNNE (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:LYNNE
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-1400
Mailing Address - Fax:615-284-1535
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-1400
Practice Address - Fax:615-284-1535
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD018995207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3033390Medicaid
TN4123460OtherBLUE CROSS BLUE SHIELD
TNP00666359OtherRR MEDICARE
TN4240322OtherAETNA
TN3033390Medicare PIN
TNA99702Medicare UPIN