Provider Demographics
NPI:1639147218
Name:OWENS, JANE ALAN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ALAN
Last Name:OWENS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 E REYNOLDS RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-1317
Mailing Address - Country:US
Mailing Address - Phone:859-554-5067
Mailing Address - Fax:859-818-0324
Practice Address - Street 1:168 E REYNOLDS RD STE 130
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517
Practice Address - Country:US
Practice Address - Phone:859-554-5067
Practice Address - Fax:859-818-0324
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18448363LF0000X
KYMO2595455363LF0000X
MECNP151090363LF0000X
NMCNP-02539363LF0000X
TXAP124370363LF0000X
MTNUR-RN-LIC-99132363LF0000X
FLARNP381347363LF0000X
NC5006613363LF0000X
MTNUR-APRN-LIC-100943363LF0000X
OHCOA14286NP363LF0000X
KY3004344363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00242791OtherRAILROAD MED HHC
000000359191OtherBC BS HHC
000000490053OtherBC BS LPC
1220952OtherCHA HHC
KY78013398Medicaid
7274595OtherAETNA HHC
KY78013398Medicaid
P00242791OtherRAILROAD MED HHC
1220952OtherCHA HHC