| Doctor Name: | JACQUELINE SELIG |
| NPI Number: | 1134470628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | AP60293807 |
| Business Practice Address: | Highway 191 And Hospital Road Chinle, AZ - 86503 |
| Business Phone Number: | 9286747166 |
| Business Fax Number: | 9286747705 |
| Mailing Address: | Po Box Ph, CHINLE |
| State: | AZ |
| Postal Code: | 865038000 |
| Phone Number: | 9286747166 |
| Fax Number: | 9286747705 |
| NPI Enumeration Date: | 09/25/2012 |
| NPI Last Update Date: | 09/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP60293807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |