Individual
ABBIE MARIE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1102 W 32ND ST, STE 200, JOPLIN, MO 64804-3503
(417) 347-5001
(417) 347-2477
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-5001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2015018011
MO
363L00000X
Nurse Practitioner
53-75464
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TMP143494
STATE LICENSE
KS
Enumeration date
09/02/2011
Last updated
10/09/2020
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