Individual
JACKLYN R OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8616
(920) 926-8098
Mailing address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8616
(920) 926-8098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8229-33
WI
Other
Enumeration date
02/08/2018
Last updated
11/23/2020
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