Jack D Owens
MD | Pediatric Neonatal-Perinatal Medicine | Male
Jack D Owens, MD is a Mountain Home, Tennessee based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Jack D Owens is
Po Box 699, Mountain Home, Tennessee - 37684-0699. He can be contacted on phone at
423-439-7320 and fax number 423-439-7343.
Jack D Owens is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack D Owens is
1609952241 which was assigned by NPPES on 27 Oct, 2006 and it was last updated on 25 Aug, 2022.
Jack D Owens license number is
42801 for Pediatrics (2080N0001X) in Tennessee.
Jack D Owens is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Jack D Owens basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jack D Owens |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jack D Owens address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Po Box 699
Mountain Home, TN, 37684-0699
United States |
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| Phone Number : | 423-439-7320 |
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| Fax Number : | 423-439-7343 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609952241 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Oct, 2006 |
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| Last Updated On : | 25 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack D Owens are as mentioned. Primary taxonomy code for Jack D Owens, MD is
2080N0001X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics | No | 16764 | MS |
| 2080N0001X | Pediatrics | Yes | 42801 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Jack D Owens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00121969 | MEDICAID | MS | |
| 0121969 | MEDICAID | MS | |
| Q073340 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 325 N State Of Franklin Rd
Johnson City, TN, 37604-6056
United States |
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| Phone Number : | 423-439-7320 |
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Business Location:
Patients can refer following map for directions to
Jack D Owens practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.