Provider Demographics
NPI:1023524006
Name:OWENS, YANA
Entity type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 WINDY HILL RD SE APT 35D
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-2020
Mailing Address - Country:US
Mailing Address - Phone:330-612-0684
Mailing Address - Fax:330-612-0684
Practice Address - Street 1:970 WINDY HILL RD SE APT 35D
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-2020
Practice Address - Country:US
Practice Address - Phone:330-612-0684
Practice Address - Fax:330-612-0684
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health