Jennifer Owens, QDDS
Case Manager/Care Coordinator in Saint Paul, MN. Individual provider (NPI-1).
NPI number1154922011
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1154922011
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Owens
- Credential
- QDDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | MN | Yes |
Practice location
635 Phalen Blvd Apt 401Saint Paul, MN 55130-5308
Phone 612-707-8121
Mailing address
Po Box 28041Oakdale, MN 55128-0041
Phone 612-707-8121
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