Healthcare Provider Details

I. General information

NPI: 1194184010
Provider Name (Legal Business Name): JANE OWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANIE OWEN NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 02/20/2016
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 14TH ST
ELKO NV
89801-3413
US

IV. Provider business mailing address

3325 RESEARCH WAY
CARSON CITY NV
89706-7913
US

V. Phone/Fax

Practice location:
  • Phone: 775-738-5850
  • Fax: 775-738-5856
Mailing address:
  • Phone: 702-220-9902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN002138
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN002138
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: