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NPI Code Detail

MEDICARE: JAMI L SEAGLE APRN

MEDICARE:   JAMI L SEAGLE  APRN
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 Practitioner11023981FL

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 : 1740995265
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI L SEAGLE APRN
Provider Business Mailing Address
First Line : 359 SHOEMAKER DR
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32433-4047
Country : US
Telephone Number : 850-716-4140
Fax Number :
Provider Business Practice Location Address
First Line : 362 HIGHWAY 83 N
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32433-3800
Country : US
Telephone Number : 850-892-8015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2023
Last Update Date : 01/18/2023

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Directions to “ JAMI L SEAGLE APRN” Practice Location

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