Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0024174043 | VA |
NPI | 1003365263 |
---|---|
Provider Name | Mrs. Molly Jean Seay |
First Address | Richmond, VA 23220-4911 |
Second Address | Richmond, VA 23220-4911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2016 |
Last Update Date | 29/09/2016 |