Healthcare Provider Details

I. General information

NPI: 1205753175
Provider Name (Legal Business Name): CLARICE DAWN SEALS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 W MORRIS BLVD STE C
MORRISTOWN TN
37813-2975
US

IV. Provider business mailing address

1423 W MORRIS BLVD STE C
MORRISTOWN TN
37813-2975
US

V. Phone/Fax

Practice location:
  • Phone: 423-587-9484
  • Fax:
Mailing address:
  • Phone: 423-587-9484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42253
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: