Owens, Jacqueline Anne

Owens, Jacqueline Anne is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Surg Accs, Ste 340, Saint Louis MO 63108-1495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Owens, Jacqueline Anne can be contacted via phone (314) 362-5298.

Contact Information

Primary practice address
4901 Forest Park Ave Div Surg Accs, Ste 340 Saint Louis MO 63108-1495
Fax: (888) 824-2176
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2014040189 Missouri

Profile Details

NPI number 1891197000
LBN Legal business name Owens, Jacqueline Anne
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Apr 17th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1891197000 NPPES
Missouri MEDICAID 420024038

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