Individual
MRS. ELIZABETH ANN SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
725 DUNBAR AVE, BAY ST LOUIS, MS 39520-2920
(228) 466-3099
(228) 867-5048
Mailing address
6100 OLD BRANDON RD, BRANDON, MS 39042-2543
(228) 867-5057
(228) 867-5048
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
R882671
MS
363LF0000X
Family Nurse Practitioner
Primary
R882671
MS
Other
Enumeration date
07/30/2014
Last updated
08/13/2020
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