Individual
JENNIFER RENELLE OSBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3801 NORTH BLVD, BATON ROUGE, LA 70806-3825
(225) 387-7899
(225) 381-2579
Mailing address
2800 MARCUS AVENUE, NEW HYDE PARK, NY 11042
(516) 622-6000
(516) 622-2914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
285407
NY
Other
Enumeration date
05/01/2013
Last updated
01/18/2018
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