Individual
JACQUELINE L SEACAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
865 WESTFIELD RD, NOBLESVILLE, IN 46062-8901
(317) 776-3854
(317) 776-3854
Mailing address
PO BOX 869, NOBLESVILLE, IN 46061-0869
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000393337
ANTHEM PROVIDER NUMBER
IN
05
—
200832720
—
IN
Enumeration date
07/04/2006
Last updated
04/26/2017
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