Individual
JACKIE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5917 E STATE ST, HERMITAGE, PA 16148-9432
(724) 456-1066
Mailing address
5917 E STATE ST, HERMITAGE, PA 16148-9432
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP034226
PA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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