Seals, Shannon Nicole

Seals, Shannon Nicole is an individual health care provider with primary practice located at 647 Jackson Ave # A , Ocean Springs MS 39564-4621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Seals, Shannon Nicole can be contacted via phone (228) 382-0855.

Contact Information

Primary practice address
647 Jackson Ave # A Ocean Springs MS 39564-4621
Phone: (228) 382-0855
Fax: (601) 602-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0311064 Mississippi

Profile Details

NPI number 1598061921
LBN Legal business name Seals, Shannon Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2011
Last updated Feb 12th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598061921 NPPES
Mississippi MEDICAID 00584811

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