| NPI | 1821650474 |
|---|---|
| Former Name | JESSICA MARIE OSBORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012727A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177824) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012727A) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-07-30 |