Provider Demographics
NPI:1952951584
Name:OWENS, ALLISON (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16934 HIGHWAY 10 E
Mailing Address - Street 2:
Mailing Address - City:PINE APPLE
Mailing Address - State:AL
Mailing Address - Zip Code:36768-3314
Mailing Address - Country:US
Mailing Address - Phone:334-300-4363
Mailing Address - Fax:
Practice Address - Street 1:867 COUNTY ROAD 59
Practice Address - Street 2:
Practice Address - City:PINE APPLE
Practice Address - State:AL
Practice Address - Zip Code:36768-3525
Practice Address - Country:US
Practice Address - Phone:251-746-2197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily