Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Shae Owens

Individual provider Family Medicine Physician · NPI 1891630943

Courtney Shae Owens is a Family Medicine Physician in Glen St Mary, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

10412 Hollie Rd
Glen St Mary, FL 32040-2565
Phone: (904) 408-1402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11046083 (FL)

Record details

NPI number1891630943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 22, 2026