Doctor Name: | MRS. JOCELYN ELLEN SEITZ-KEOUGH |
NPI Number: | 1013258334 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 22635 |
Business Practice Address: | 1998 N Arrowhead Ave San Bernardino, CA - 924054116 |
Business Phone Number: | 9098820988 |
Business Fax Number: | |
Mailing Address: | 1998 N Arrowhead Ave, SAN BERNARDINO |
State: | CA |
Postal Code: | 924054116 |
Phone Number: | 9098820988 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 22635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |