Doctor Name: | JOSE A SERIO |
NPI Number: | 1265443063 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | R851134 |
Business Practice Address: | 46 Sgt Prentiss Dr Suite 300 Natchez, MS - 391204725 |
Business Phone Number: | 6014467343 |
Business Fax Number: | 6014450833 |
Mailing Address: | 46 Sgt Prentiss Dr, Suite 300 NATCHEZ |
State: | MS |
Postal Code: | 391204725 |
Phone Number: | 6014467343 |
Fax Number: | 6014450833 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R851134 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |