Individual
JOAN ALICE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1608 HILL RISE DR, LEXINGTON, KY 40504-2503
(859) 338-3958
(859) 368-8135
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(859) 338-3958
(859) 368-8135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3477P
KY
363LF0000X
Family Nurse Practitioner
Primary
3003477
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
78006020
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
01
—
P00220013
RR MEDICARE PIN
—
Enumeration date
09/13/2006
Last updated
07/08/2017
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