Healthcare Provider Details

I. General information

NPI: 1164268314
Provider Name (Legal Business Name): JAMES ANTHONY SEAL FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 AVENUE F
BOGALUSA LA
70427-3637
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 985-730-6970
  • Fax: 985-735-8883
Mailing address:
  • Phone: 985-730-6970
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number236338
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: