Healthcare Provider Details

I. General information

NPI: 1255266300
Provider Name (Legal Business Name): JT HALO HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 W MAIN ST
AVON MA
02322-1331
US

IV. Provider business mailing address

226 W MAIN ST
AVON MA
02322-1331
US

V. Phone/Fax

Practice location:
  • Phone: 617-997-8216
  • Fax:
Mailing address:
  • Phone: 617-997-8216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHINE OSEMWEGIE
Title or Position: OWNER OF ENTITY
Credential: MSN, APRN, PMHNP-BC
Phone: 617-997-8216