Individual
AMELIA JESSIE BREAZEALE SEYBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
60 BEAR DR, GREENVILLE, SC 29605-4458
(186) 484-4943
Mailing address
60 BEAR DR, GREENVILLE, SC 29605-4458
(186) 484-4943
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30584
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2025
Last updated
02/28/2026
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