Healthcare Provider Details

I. General information

NPI: 1902298607
Provider Name (Legal Business Name): JOANNE OWNBEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1A REGULUS DRIVE
TURNERSVILLE NJ
08012
US

IV. Provider business mailing address

1A REGULUS DRIVE
TURNERSVILLE NJ
08012
US

V. Phone/Fax

Practice location:
  • Phone: 844-542-2273
  • Fax: 856-256-7518
Mailing address:
  • Phone: 844-542-2273
  • Fax: 856-256-7518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP014774
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number26NJ00646500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: