Provider Demographics
NPI:1891868105
Name:OWENS, GIANNA LAURA (ANP)
Entity Type:Individual
Prefix:MS
First Name:GIANNA
Middle Name:LAURA
Last Name:OWENS
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 OLD SMITHVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-5934
Mailing Address - Country:US
Mailing Address - Phone:931-259-4144
Mailing Address - Fax:931-259-4143
Practice Address - Street 1:931 OLD SMITHVILLE RD
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-5934
Practice Address - Country:US
Practice Address - Phone:931-259-4144
Practice Address - Fax:931-259-4143
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13275363LA2200X, 363LF0000X
TNRN0000160813163W00000X
NYF-303915363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3341891Medicaid
TN3341891Medicaid