Owen, Jeremy Wayne

Owen, Jeremy Wayne is an individual health care provider with primary practice located at 603 N Progress Ave , Siloam Springs AR 72761-4352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Owen, Jeremy Wayne can be contacted via phone (479) 524-4141.

Contact Information

Primary practice address
603 N Progress Ave Siloam Springs AR 72761-4352
Phone: (479) 524-4141
Fax: (479) 549-2577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 121399 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2019035092 Missouri

Profile Details

NPI number 1144881665
LBN Legal business name Owen, Jeremy Wayne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Oct 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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