Provider Demographics
NPI:1538452164
Name:OSINSKI, CAROL-JO (FNP)
Entity type:Individual
Prefix:MS
First Name:CAROL-JO
Middle Name:
Last Name:OSINSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CAROL-JO
Other - Middle Name:
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-0684
Mailing Address - Country:US
Mailing Address - Phone:804-642-9515
Mailing Address - Fax:
Practice Address - Street 1:6031 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-3767
Practice Address - Country:US
Practice Address - Phone:804-642-9515
Practice Address - Fax:804-683-3691
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily