Individual
MR. JEREMY BRIAN SEABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
702 S CUMBERLAND ST, LEBANON, TN 37087-4110
(615) 444-2121
(615) 547-6474
Mailing address
702 S CUMBERLAND ST, LEBANON, TN 37087-4110
(615) 444-2121
(615) 547-6474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8415
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12242559
CAQH
TN
01
—
3323094
UHC
TN
01
—
4297216
BCBS
TN
01
—
7386616
CIGNA
TN
01
—
APN8415
APN LICENCE
TN
01
—
RN140019
RN LICENSE
TN
Enumeration date
07/31/2007
Last updated
05/02/2014
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