Provider Demographics
NPI:1184996019
Name:OSBORN, TAMMY LYNN (NP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:OSBORN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:WESTWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 NW R D MIZE RD STE 400
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2520
Mailing Address - Country:US
Mailing Address - Phone:816-228-9841
Mailing Address - Fax:816-228-8667
Practice Address - Street 1:205 NW R D MIZE RD STE 400
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2520
Practice Address - Country:US
Practice Address - Phone:816-228-9841
Practice Address - Fax:816-228-8667
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012004401163WD0400X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator