Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 019598 | OH |
NPI | 1013460641 |
---|---|
Provider Name | Jamie Seiley |
First Address | Dayton, OH 45409-2731 |
Second Address | Dayton, OH 45409-2731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2016 |
Last Update Date | 01/08/2016 |