Healthcare Provider Details
I. General information
NPI: 1619164019
Provider Name (Legal Business Name): ASHLEY HEATH SEAWRIGHT ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/29/2007
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 N STATE ST DEPARTMENT OF TRANSPLANT SURGERY
JACKSON MS
39216-4500
US
IV. Provider business mailing address
PO BOX 11407 DEPARTMENT OF TRANSPLANT SURGERY
BIRMINGHAM AL
35246-2130
US
V. Phone/Fax
- Phone: 601-984-5100
- Fax:
- Phone: 601-984-5100
- Fax: 601-815-3322
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | R857453 |
| License Number State | MS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 857453 |
| License Number State | MS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: