Jerry Ellen Owensby in Henderson - Internal Medicine

Jerry Ellen Owensby - NPI 1871524132

Jerry Ellen Owensby is a Internal Medicine in Henderson, Nevada. Jerry Ellen Owensby practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry Ellen Owensby is 1871524132. The last update date is 2023-06-14.

Jerry Ellen Owensby's current location address is 871 Coronado Center Dr Ste 200, Henderson, Nevada. You can contact this provider via phone number 7028030034. The mailing address for Jerry Ellen Owensby is 871 Coronado Center Dr Ste 200, Henderson, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Ellen Owensby
Address 871 Coronado Center Dr Ste 200, Henderson, Nevada
Phone Number 7028030034
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871524132
Provider Enumeration Date 2006-07-05
Last Updated Date 2023-06-14

Provider Mailing Address Detail

Address 871 Coronado Center Dr Ste 200
City Henderson
State Nevada (NV)
Post Code 890523977
Phone Number 7028030034
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 23843
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1023413 AZ CIGNA PROVIDER NUMBER
AZ0838370 AZ BCBS PROVIDER NUMBER
2Z1452 AZ HEALTHNET PROVIDER NUMBER

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FAQs about Jerry Ellen Owensby

What is the Jerry Ellen Owensby's unique identification number?

The Jerry Ellen Owensby has been assigned the NPI (National Provider Identifier) Number 1871524132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jerry Ellen Owensby's facilities are situated?

The facilities of Jerry Ellen Owensby are physically located at the following address: 871 Coronado Center Dr Ste 200, Henderson, NV, 890523977.

What is Jerry Ellen Owensby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerry Ellen Owensby is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

When did Jerry Ellen Owensby receive its 1871524132 assignment?

The Jerry Ellen Owensby was assigned its 1871524132 on 2006-07-05, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Jerry Ellen Owensby, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerry Ellen Owensby, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-14.

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