MEDICARE: MEGAN SEALS PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	903887	MS
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	211655	LA

General Provider Information

NPI Number	:	1881227106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN SEALS PMHNP

Provider Business Mailing Address
First Line	:	120 HIGHWAY 11 N UNIT 1699
Second Line	:
City	:	PICAYUNE
State	:	MS
Zip	:	39466-3392
Country	:	US
Telephone Number	:	601-202-9644
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 GOVERNMENT ST
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3826
Country	:	US
Telephone Number	:	228-231-3739
Fax Number	:

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

Provider Enumeration Date	:	02/14/2020
Last Update Date	:	09/23/2025

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