Individual
REGINA G SEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7676 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5304
(662) 536-7640
(662) 536-7639
Mailing address
2155 WEST ST, GERMANTOWN, TN 38138-3856
(901) 623-3323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN0000076982
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487757365
BCBS MISSISSIPPI
MS
01
—
1487757365
BCBS TENNESSEE
TN
Enumeration date
09/06/2006
Last updated
03/27/2019
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