Individual
BROOKE JORDAN SEAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 552-0500
(501) 552-5339
Mailing address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 552-0500
(501) 552-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A001552
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143506758
—
AR
Enumeration date
07/08/2006
Last updated
10/02/2024
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