=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184897696
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA R OSBORNE DNP, WHNP-BC, AGNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/04/2008
-----------------------------------------------------
Last Update Date | 11/14/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 KINGS HWY NORTH SUITE 100
-----------------------------------------------------
City | CHERRY HILL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-667-5910
-----------------------------------------------------
Fax | 856-667-8304
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 54 COOPER TOMLINSON RD
-----------------------------------------------------
City | MEDFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-375-3056
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 26NR10599800
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ00348300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ00348300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------