Provider Demographics
NPI:1447917307
Name:OSBORNE, APRIL DAWN (RN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DAWN
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:DAWN
Other - Last Name:BEASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37662-0009
Mailing Address - Country:US
Mailing Address - Phone:423-857-2066
Mailing Address - Fax:
Practice Address - Street 1:105 W STONE DR STE 1F
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3365
Practice Address - Country:US
Practice Address - Phone:423-230-2420
Practice Address - Fax:423-230-2421
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-25
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN223446163W00000X
TN35858363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse