Doctor Name: | MRS. KAREN EDWARDS SEAGO |
NPI Number: | 1164664348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R701653 |
Business Practice Address: | 740 Highway 49 Suite V Flora, MS - 390719278 |
Business Phone Number: | 6018798882 |
Business Fax Number: | 6018798485 |
Mailing Address: | 2550 Flowood Dr, Suite 402 FLOWOOD |
State: | MS |
Postal Code: | 392329303 |
Phone Number: | 6019363121 |
Fax Number: | 6019363130 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 04/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R701653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |