Healthcare Provider Details

I. General information

NPI: 1528974086
Provider Name (Legal Business Name): HANNAH NOEL SEALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8548 HIGHWAY 6 W
PONTOTOC MS
38863-9142
US

IV. Provider business mailing address

8548 HIGHWAY 6 W
PONTOTOC MS
38863-9142
US

V. Phone/Fax

Practice location:
  • Phone: 662-871-5338
  • Fax:
Mailing address:
  • Phone: 662-871-5338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number908681
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: