Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2021005462 | MO |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | SP023431 | PA |
N | 363LG0600X | Nurse Practitioner - Gerontology | SP023431 | PA |
NPI | 1497344279 |
---|---|
Provider Name | Jared Seavey |
First Address | York, PA 17408-8815 |
Second Address | Harrisburg, PA 17101-2010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2021 |
Last Update Date | 07/06/2021 |