Individual ProviderJeffrey H OwenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11212 S Linn Ave, Oklahoma City, OK 73170-2610(405) 243-6269PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey H Owen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104010222Provider TypeIndividualFull NameOwen, Jeffrey HCredentialAPRN-CNP, FNP-BCGenderMaleSole ProprietorNoEnumeration Date8/31/2007Last Updated6/16/2018Contact InformationPractice LocationPractice Address11212 S Linn Ave, Oklahoma City, OK 73170-2610Phone(405) 243-6269FaxUnlisted FaxMailing LocationMailing AddressP.O. Box 892663, Oklahoma City, OK 73189-2663Phone(405) 243-6269FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR0063973OklahomaProvider IdentifiersIDDescriptionIssuerID7314153812DescriptionOtherIssuerFMCSA-DOT