Healthcare Provider Details

I. General information

NPI: 1013490853
Provider Name (Legal Business Name): HILLARY OSBORNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 12/29/2024
Certification Date: 12/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 MARYLAND WAY SUITE 103
BRENTWOOD TN
37027-5074
US

IV. Provider business mailing address

5300 MARYLAND WAY SUITE 103
BRENTWOOD TN
37027-5074
US

V. Phone/Fax

Practice location:
  • Phone: 615-224-9800
  • Fax: 615-224-9840
Mailing address:
  • Phone: 615-224-9800
  • Fax: 615-224-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number225435
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number24953
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: