Individual
GINA B SEAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1200 N STATE ST, SUITE 500, JACKSON, MS 39202-2000
(601) 352-2273
(601) 714-3415
Mailing address
129 CEDAR WOODS CV, MADISON, MS 39110-6505
(601) 259-9256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R784386
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118260
—
MS
Enumeration date
11/14/2006
Last updated
03/20/2024
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