MEDICARE: KATIE JEAN SELIGA APRN, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1188085	TX

General Provider Information

NPI Number	:	1275324410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE JEAN SELIGA APRN, FNP

Provider Business Mailing Address
First Line	:	1320 HIGHWAY 287 S
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5701
Country	:	US
Telephone Number	:	817-968-5806
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 HIGHWAY 287 S
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5701
Country	:	US
Telephone Number	:	817-968-5806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	01/02/2026

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