Individual provider · Type 1 NPI
Tammy L. Osborn, APN
Psychiatric/Mental Health Nurse Practitioner · Bloomington, IL
NPI number
1245295286
Active
Practice location
702 W Chestnut St
Bloomington, IL 61701-2814
Mailing address
448 Wylie Dr Ste L100
Normal, IL 61761-5405
Other practice locations
- 100 N Main, Suite L100, East Peoria, IL 61611 · (309) 694-6462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041315198 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.030221 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245295286
Tammy L. Osborn, APN's National Provider Identifier is 1245295286, issued on Apr 20, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bloomington, IL. The record was last updated on Aug 21, 2024.