Provider Demographics
NPI:1093472805
Name:JENNIFER OSBORNE DNP, PMHNP-BC, APRN PLLC
Entity Type:Organization
Organization Name:JENNIFER OSBORNE DNP, PMHNP-BC, APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:312-868-0700
Mailing Address - Street 1:30 N MICHIGAN AVE STE 816
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3782
Mailing Address - Country:US
Mailing Address - Phone:312-868-0700
Mailing Address - Fax:312-868-0740
Practice Address - Street 1:30 N MICHIGAN AVE STE 816
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3782
Practice Address - Country:US
Practice Address - Phone:312-868-0700
Practice Address - Fax:312-868-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty