NPI 1649688912 · live from the CMS NPI Registry
Elizabeth Ann Seal, NP-C
Nurse Practitioner, Family in Bay St Louis, MS. National Provider Identifier 1649688912, active.
NPI record
| NPI | 1649688912 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 725 Dunbar Ave, Bay St Louis, MS 39520 |
| Practice phone | 228-466-3099 |
| Mailing address | 6100 Old Brandon Rd, Brandon, MS 39042 |
| Enumerated | July 30, 2014 |
| Last updated | August 13, 2020 |
| Sole proprietor | No |
| Other names | Elizabeth Stafford |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gastroenterology | 163WG0100X | R882671 (MS) |
| Nurse Practitioner, Family primary | 363LF0000X | R882671 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.