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Individual

MR. JEFFREY A OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP, PMHNP

Contact information

Practice address
61 STATE ST STE 79, BANGOR, ME 04401-5038
(513) 600-7749
(207) 579-8425
Mailing address
1025 KENDUSKEAG AVE, BANGOR, ME 04401-2928
(513) 600-7749

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CNP241564
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP241564
ME

Other

Enumeration date
11/05/2012
Last updated
12/15/2025
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