Doctor Name: | MRS. JOVONNE CHANDLER OSBORNE |
NPI Number: | 1013252659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R174086 |
Business Practice Address: | 1016 S Salisbury Blvd Cvs Minute Clinic Salisbury, MD - 218016361 |
Business Phone Number: | 4105725891 |
Business Fax Number: | |
Mailing Address: | 28125 Brockhampton Ct, SALISBURY |
State: | MD |
Postal Code: | 218011757 |
Phone Number: | 4105468231 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2012 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R174086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |