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NPI Code Detail

MEDICARE: THOMAS JASON SEELEY R.N., C.N.P.

MEDICARE: THOMAS JASON SEELEY R.N., C.N.P.
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
1363LF0000XFamily Nurse PractitionerRN.267227-COA1OH
2363LF0000XFamily Nurse PractitionerCOA.10182-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598912628
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JASON SEELEY R.N., C.N.P.
Provider Business Mailing Address
First Line : 941 MARKET ST
Second Line :
City : PIKETON
State : OH
Zip : 45661-9757
Country : US
Telephone Number : 740-289-2371
Fax Number : 740-289-4291
Provider Business Practice Location Address
First Line : 227 VALLEY VIEW DR
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9135
Country : US
Telephone Number : 740-947-7726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 11/03/2022

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