Jenishia Osborne

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703113099 Issued in MI

Practice address

15155 Artesian St
Detroit, MI 48223-2282

Phone

(313) 923-4759

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1083163786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15155 ARTESIAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232282",
            "telephone_number": "313-923-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15155 ARTESIAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232282",
            "telephone_number": "313-923-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JENISHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703113099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osama Qaqi MD PLLC
• Emmanuella Iyore Osamuyi, MBBS
• Jabari Moyenda Osaze, RN
• Daniel Aaron Osborn, M.D.
• Zachary Osborn, DO
• Kylie Osborne, RN
• Ruby Osborne, DOULA
• Shenikqua Osborne
• Richard Osburn
• Osh-Mi Physicians Group PC

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.