MEDICARE: BRIGIN LYNETTE SEGER PA-C

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
1	363A00000X	Physician Assistant	4094	TN

General Provider Information

NPI Number	:	1770193740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIGIN LYNETTE SEGER PA-C

Provider Business Mailing Address
First Line	:	2804 BLACKWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3974
Country	:	US
Telephone Number	:	760-622-9931
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 N MOUNT JULIET RD
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-3078
Country	:	US
Telephone Number	:	615-758-5672
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2020
Last Update Date	:	02/27/2024

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