MARY MALISSA OSBORNE (NPI# 1336491711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336491711 |
| Entity Type | Individual |
| Full Name | MARY MALISSA OSBORNE |
| Credential | PA-C |
| Practice Address |
1315 Jesse Jewell Pkwy Ne Ste 200 Gainesville GA 30501-3822 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702199300 |
| Practice Fax Number | 7702199301 |
| Mailing Telephone | 7702198722 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 006618 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006618 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234872 | Mary Ann Osborne | Homemaker | 221 N Central Ave Apt 122, Fairborn, OH 45324-5099 | 2020-11-01 |
| 1992316814 | Mary Martha Osborne | Technician | 222 Truman Rd, Inwood, WV 25428-3497 | 2020-08-13 |
| 1861547432 | Mary Frances Osborne | Registered Nurse | 4313 Pinefield Ave, Holiday, FL 34691-1658 | 2007-01-24 |
| 1649284241 | Mary Osborne | Counselor | 2020 Elmwood Ave, Kenthouse Inc, Warwick, RI 02888 | 2006-07-28 |
| 1326076720 | Mary Elaine M Osborne | Audiologist | 1100 N Victor II Blvd, Morgan City, LA 70380-1331 | 2006-06-28 |
| 1578512745 | Mary Ann Osborne | Nurse Practitioner | 1355 South 8th Street, Suite 202, Co Springs, CO 80905 | 2006-05-08 |
| 1437116209 | Mary Beth Abraham Osborne | Physical Therapist | 101 Braden Ct, Durham, NC 27713-9502 | 2006-04-27 |
| 1043793953 | Mary Osborne | Occupational Therapist | 3200 W Slaughter Ln, Austin, TX 78748-5706 | 2018-09-07 |
| 1639621071 | Mary K Osborne | Nurse Practitioner | 2418 W Division St, Chicago, IL 60622-2940 | 2016-11-02 |
| 1750834958 | Mary Osborne | Counselor | 840 Interstate Dr, Grayson, KY 41143-1768 | 2016-07-25 |
| Street Address |
1315 JESSE JEWELL PKWY NE STE 200 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932361953 | Jameela Lenora Harper | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2008-07-01 |
| 1427413285 | Nicky S Tomblin | Nurse Practitioner | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2015-12-22 |
| 1992115125 | Stephanie Springfield | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501 | 2014-04-28 |
| 1093032336 | Karen Brown Wood | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2010-04-27 |
| 1588804066 | Britteny Barron | Advanced Practice Midwife | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316417181 | Elizabeth H Yun | Physician Assistant | 7500 Iron Bar Ln Ste 215, Gainesville, VA 20155-3612 | 2018-12-04 |
| 1558666784 | Yanira Serralta | Physician Assistant | 4410 W Newberry Rd Ste 3, Gainesville, FL 32607-5200 | 2011-01-19 |
| 1912054578 | David A. Kireta | Physician Assistant | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 | 2007-01-05 |
| 1306911375 | North Florida Neurosurgery | Physician Assistant | 6510 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4245 | 2006-11-22 |
| 1366530610 | Andrew F Roush | Physician Assistant | 200 Academy Street, Gainesville, GA 30501 | 2006-10-11 |
| 1003907445 | William R Wright | Physician Assistant | 4343 W. Newberry Road, Suite 13, Gainesville, FL 32607 | 2006-09-28 |
| 1235237165 | Elizabeth Courtney Wilhem | Physician Assistant | 4741 Nw 8th Ave Ste C, Gainesville, FL 32605-5511 | 2006-09-21 |
| 1265445324 | Joy Steinkraus | Physician Assistant | 743 Spring Street Ne, Gainesville, GEORGIA 30501 | 2006-08-13 |
| 1225053572 | Julie Ann Hopper | Physician Assistant | 2435 Old Cornelia Hwy, Gainesville, GA 30507-7854 | 2006-07-13 |
| 1053346296 | Audrey B Gibson | Physician Assistant | 961 Smoky Mountain Springs Lane Ne, Ste A, Gainesville, GA 30501 | 2006-07-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on MARY MALISSA OSBORNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.