Provider Demographics
NPI:1679820500
Name:SEABORN, CHELSEA L (MSN, ACNP-BC, FCCS)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:L
Last Name:SEABORN
Suffix:
Gender:F
Credentials:MSN, ACNP-BC, FCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1718 PEACHTREE ST NW
Mailing Address - Street 2:STE 360
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2452
Mailing Address - Country:US
Mailing Address - Phone:404-350-9505
Mailing Address - Fax:
Practice Address - Street 1:960 JOHNSON FERRY RD STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1630
Practice Address - Country:US
Practice Address - Phone:404-257-0006
Practice Address - Fax:404-851-1316
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM66133363LA2100X
SC24760363LA2100X
GARN192373363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care