Individual provider · Type 1 NPI
Shannon Owens
Adult Health Nurse Practitioner · Farmington, MO
NPI number
1174988281
Active
Practice location
1012 W Columbia St
Farmington, MO 63640-2902
Mailing address
565 High Ave
St. Louis, MO 63126-1423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2015027396 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 2015027396 (MO) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1174988281
Shannon Owens's National Provider Identifier is 1174988281, issued on Dec 17, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Farmington, MO. The record was last updated on Dec 17, 2015.