Provider Demographics
NPI:1396409066
Name:OSBORNE, DEBBY LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBBY
Middle Name:LYNN
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DEBBY
Other - Middle Name:LYNN
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:20225 BOTHELL EVERETT HWY APT 138
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-8196
Mailing Address - Country:US
Mailing Address - Phone:801-787-1600
Mailing Address - Fax:
Practice Address - Street 1:30 HUNTER LN
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2499
Practice Address - Country:US
Practice Address - Phone:801-787-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60195883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse