Individual
AMY KENNEDY SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
617 AVENUE F, BOGALUSA, LA 70427-3637
(985) 730-6970
(985) 545-1071
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 545-1070
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204325
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204325
STATE LICENSE
LA
Enumeration date
03/25/2019
Last updated
03/14/2023
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