Individual
MR. JONATHAN A SEGHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
806 JEFFERSON TER, NEW IBERIA, LA 70560
(337) 365-4945
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP05996
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1813061
—
LA
Enumeration date
01/12/2010
Last updated
01/24/2020
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