Individual provider Active NPI

Jordan McKenzie Osborne, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nunnelly, TN
National Provider Identifier
1467218719
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
35795 Issued in TN
Practice address
6107 Pinewood Rd
Nunnelly, TN 37137-2523
Phone
(888) 852-6672
Fax
(305) 891-4228
NPI assigned
Feb 26, 2024
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 35795 TN Primary

Addresses

Primary practice location

6107 Pinewood Rd
Nunnelly, TN 37137-2523

Mailing address

200 Winners Cir S
Brentwood, TN 37027-5052
Phone (629) 217-0164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000873 TN Practitioner - Nurse Practitioner 1355789843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1467218719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINNERS CIR S",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275052",
            "telephone_number": "629-217-0164",
            "fax_number": "615-988-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 PINEWOOD RD",
            "city": "NUNNELLY",
            "state": "TN",
            "postal_code": "371372523",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JORDAN",
        "middle_name": "MCKENZIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "35795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nunnelly, TN

Sources for this page

Verify at the official NPI Registry.