Healthcare Provider Details

I. General information

NPI: 1427770494
Provider Name (Legal Business Name): REBECCA OWENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA DENT

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

PO BOX 2930
INDIANAPOLIS IN
46206-2930
US

V. Phone/Fax

Practice location:
  • Phone: 423-602-8400
  • Fax:
Mailing address:
  • Phone: 844-468-9496
  • Fax: 855-630-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number277349
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number40886
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: