| Doctor Name: | TAMMY LYNN OSBORN |
| NPI Number: | 1184996019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 2012004401 |
| Business Practice Address: | 220 Nw R D Mize Rd Suite 101 Blue Springs, MO - 640142527 |
| Business Phone Number: | 8162289841 |
| Business Fax Number: | 8162288667 |
| Mailing Address: | 220 Nw R D Mize Rd, Suite 101 BLUE SPRINGS |
| State: | MO |
| Postal Code: | 640142527 |
| Phone Number: | 8162289841 |
| Fax Number: | 8162288667 |
| NPI Enumeration Date: | 02/08/2012 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 2012004401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |