Provider Demographics
NPI:1003428988
Name:SEJOUR, DARLENE (APRN)
Entity Type:Individual
Prefix:MISS
First Name:DARLENE
Middle Name:
Last Name:SEJOUR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CHERRY BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-0019
Mailing Address - Country:US
Mailing Address - Phone:774-239-7719
Mailing Address - Fax:
Practice Address - Street 1:9 CHERRY BLOSSOM CIR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-0019
Practice Address - Country:US
Practice Address - Phone:774-239-7719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN271788163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent