Healthcare Provider Details

I. General information

NPI: 1265526537
Provider Name (Legal Business Name): GEN MARIE OWENS RN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/05/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SOUTHWEST FWY STE 2100
HOUSTON TX
77027-7525
US

IV. Provider business mailing address

220 ATHENS WAY STE 240
NASHVILLE TN
37228-1311
US

V. Phone/Fax

Practice location:
  • Phone: 833-208-7770
  • Fax: 833-464-3584
Mailing address:
  • Phone: 833-208-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number93316-030
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number113299
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: