Individual
JESSI LYNN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1, CONCORD, NH 03301-5046
(603) 228-1111
(603) 226-4314
Mailing address
246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1, CONCORD, NH 03301-5046
(603) 228-1111
(603) 226-4314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0797
NH
363A00000X
Physician Assistant
PA4104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30338487
—
NH
Enumeration date
10/19/2010
Last updated
08/21/2020
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