Individual
MRS. SHANNON NICOLE SEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
647 JACKSON AVE # A, OCEAN SPRINGS, MS 39564-4621
(228) 382-0855
(601) 602-2015
Mailing address
647 JACKSON AVE # A, OCEAN SPRINGS, MS 39564-4621
(228) 382-0855
(601) 602-2015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0311064
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00584811
—
MS
Enumeration date
02/02/2011
Last updated
02/12/2024
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