Provider Demographics
NPI:1184897696
Name:OSBORNE, BARBARA R (DNP, WHNP-BC, AGNP-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:DNP, WHNP-BC, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 COOPER TOMLINSON RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055
Mailing Address - Country:US
Mailing Address - Phone:856-375-3056
Mailing Address - Fax:
Practice Address - Street 1:500 KINGS HWY NORTH
Practice Address - Street 2:SUITE 100
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-667-5910
Practice Address - Fax:856-667-8304
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR10599800163W00000X
NJ26NJ00348300363LW0102X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health