Individual
MRS. HEATHER JOY OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3348
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-3348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006415
—
NC
Enumeration date
11/09/2010
Last updated
02/14/2013
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