Doctor Name: | MRS. JENNY SEABURG |
NPI Number: | 1336561422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN |
License Number: | 22 581225 |
Business Practice Address: | 142 Christina Dr North Chili, NY - 145149751 |
Business Phone Number: | 5856906669 |
Business Fax Number: | |
Mailing Address: | 142 Christina Dr, NORTH CHILI |
State: | NY |
Postal Code: | 145149751 |
Phone Number: | 5856906669 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 22 581225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |