Healthcare Provider Details

I. General information

NPI: 1851041636
Provider Name (Legal Business Name): JENNY L OWNBEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 S OWEN ST
ELIZABETHTOWN NC
28337-8878
US

IV. Provider business mailing address

215 PURDIE RICHARDSON CEMETERY RD
TAR HEEL NC
28392
US

V. Phone/Fax

Practice location:
  • Phone: 252-396-1616
  • Fax: 877-707-9723
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: