Individual provider · Type 1 NPI

Samson Ebho Osebor, NP

Psychiatric/Mental Health Nurse Practitioner · Lawrenceville, GA

NPI number 1578298907 Active

Practice location

615 Lawrenceville Suwanee Rd
Lawrenceville, GA 30046-4325

Mailing address

200 Bedford Rd Apt 10A
Woburn, MA 01801-3926

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2311226 (MA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XRN2311226 (MA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X710455 (GA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1578298907

Samson Ebho Osebor, NP's National Provider Identifier is 1578298907, issued on Jul 20, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 3, 2026.