Individual
MRS. KAREN EDWARDS SEAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
187 DOCTORS DR, PEARL, MS 39208-4042
(601) 932-8722
(601) 939-2623
Mailing address
2550 FLOWOOD DR, SUITE 402, FLOWOOD, MS 39232-9303
(601) 936-3121
(601) 936-3130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R701653
MS
363LF0000X
Family Nurse Practitioner
R701653
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118110
—
MS
01
—
R701653
LICENSE
MS
Enumeration date
04/02/2009
Last updated
08/18/2020
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