# SEYMOUR MEDICAL CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396808689
- **Authorized official:** JENNIFER L NEAL (PRACTICE ADMIN)
- **Authorized official phone:** (865) 577-5231

## Contact information

- **Practice address:** 10626 CHAPMAN HWY, SEYMOUR, TN 37865-4703
- **Practice address phone:** (865) 577-5231
- **Practice address fax:** (865) 577-1539
- **Mailing address:** 10626 CHAPMAN HWY, P.O. BOX 309, SEYMOUR, TN 37865-4703
- **Mailing address phone:** (865) 577-5231
- **Mailing address fax:** (865) 577-1539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO000645 | TN | Yes |
| 363LF0000X | Family Nurse Practitioner | RN115867 | TN | — |
| 363LF0000X | Family Nurse Practitioner | RN132917 | TN | — |
| 363LF0000X | Family Nurse Practitioner | RN71129 | TN | — |
| 363LP0200X | Pediatric Nurse Practitioner | APN0000012720 | TN | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/13/2007