| Doctor Name: | MRS. JEAN MARIE OSBORNE |
| NPI Number: | 1093900813 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 30 304741 |
| Business Practice Address: | 2488 Walters Ct Bellmore, NY - 117104823 |
| Business Phone Number: | 5167293853 |
| Business Fax Number: | 5167659149 |
| Mailing Address: | 2488 Walters Ct, BELLMORE |
| State: | NY |
| Postal Code: | 117104823 |
| Phone Number: | 5167293853 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2007 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 30 304741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |