Individual provider · Type 1 NPI

Lisa Yvette Osborne

Gerontology Nurse Practitioner · Augusta, GA

NPI number 1144705666 Active

Practice location

1 Freedom Way
Augusta, GA 30904-6258

Mailing address

3080 Cox Rd
Sumter, SC 29154-9494

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAG07180119 (SC)
Gerontology Nurse Practitioner Primary 363LG0600XAG07180119 (SD)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1144705666

Lisa Yvette Osborne's National Provider Identifier is 1144705666, issued on Oct 1, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Augusta, GA. The record was last updated on Oct 1, 2018.