Provider Demographics
NPI:1659309490
Name:OSKINS, SUSAN (CNP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:OSKINS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 NORTH HIGH STREET
Mailing Address - Street 2:BLDG A SUITE 150
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054
Mailing Address - Country:US
Mailing Address - Phone:614-855-1115
Mailing Address - Fax:614-855-9363
Practice Address - Street 1:68 NORTH HIGH STREET
Practice Address - Street 2:BLDG A SUITE 150
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054
Practice Address - Country:US
Practice Address - Phone:614-855-1115
Practice Address - Fax:614-855-9363
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-01010363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2971771Medicaid