Individual
SELINA A JEANISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-5435
Mailing address
12496 BELL RD, ROBY, MO 65557-8705
(936) 676-9575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102203214
VA
207P00000X
Emergency Medicine Physician
2015040163
MO
207P00000X
Emergency Medicine Physician
Primary
S7075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
GME
—
Enumeration date
07/07/2010
Last updated
11/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us