Doctor Name: | MRS. VICTORIA LYNN OSBORNE |
NPI Number: | 1215369921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | APN0000017830 |
Business Practice Address: | 105 Gay St Erwin, TN - 376501227 |
Business Phone Number: | 4237436141 |
Business Fax Number: | 4237431083 |
Mailing Address: | Po Box 399, ERWIN |
State: | TN |
Postal Code: | 376500399 |
Phone Number: | 4237436141 |
Fax Number: | 4237431083 |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000017830 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |