SearchMississippi207Q00000X

Jenisus Owens, D.O

NPI 1316390289 · on the registry since 2016

Practice

Address
1101 S 28th Ave Ste C
Hattiesburg, MS 39402
Phone
(601) 261-1670
Fax
(601) 579-8381
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi