Provider Demographics
NPI:1194105767
Name:OWENBY, LORNA KAY (FNP)
Entity type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:KAY
Last Name:OWENBY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:LORNA
Other - Middle Name:KAY
Other - Last Name:WILSON (WHALEY)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:5 MEDICAL DR NE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-8003
Mailing Address - Country:US
Mailing Address - Phone:706-625-5900
Mailing Address - Fax:
Practice Address - Street 1:5 MEDICAL DR NE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-8003
Practice Address - Country:US
Practice Address - Phone:706-625-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224092363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily