Provider Demographics
NPI:1043244189
Name:SEAY, LISA JAN (CRNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:JAN
Last Name:SEAY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6554 HOUNDS RUN N
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-5407
Mailing Address - Country:US
Mailing Address - Phone:502-216-2731
Mailing Address - Fax:502-216-2731
Practice Address - Street 1:6554 HOUNDS RUN N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-5407
Practice Address - Country:US
Practice Address - Phone:502-216-2731
Practice Address - Fax:502-216-2731
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002078363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health