Healthcare Provider Details

I. General information

NPI: 1790143618
Provider Name (Legal Business Name): VALERIE OWENS DNP, APRN, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10040 HILLVIEW DR
PENSACOLA FL
32514-5499
US

IV. Provider business mailing address

PO BOX 9472
MINNEAPOLIS MN
55440-9472
US

V. Phone/Fax

Practice location:
  • Phone: 850-474-0570
  • Fax: 850-476-0807
Mailing address:
  • Phone: 850-630-1496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number240511
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number240511
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number9466630
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number240511
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: