Individual
JESSY CLAIRE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 S WASHINGTON ST, BUTLER, PA 16001-5752
(724) 283-6668
Mailing address
122 S WASHINGTON ST, BUTLER, PA 16001-5752
(724) 283-6668
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053148
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA053148
STATE LICENSE
PA
Enumeration date
10/01/2007
Last updated
05/12/2009
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