Provider Demographics
NPI:1336640861
Name:SEALE, REBECCA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JEAN
Last Name:SEALE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 COIT RD APT 816
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-8227
Mailing Address - Country:US
Mailing Address - Phone:870-904-8161
Mailing Address - Fax:
Practice Address - Street 1:9600 COIT RD APT 816
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-8227
Practice Address - Country:US
Practice Address - Phone:870-904-8161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX814583163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health