Provider Demographics
NPI:1982039186
Name:SEAVEY, JENNA M (CNS)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:M
Last Name:SEAVEY
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:M
Other - Last Name:BYERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6847 N CHESTNUT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3929
Mailing Address - Country:US
Mailing Address - Phone:330-618-2732
Mailing Address - Fax:
Practice Address - Street 1:6847 N. CHESTNUT STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266
Practice Address - Country:US
Practice Address - Phone:330-296-9606
Practice Address - Fax:330-297-9835
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-06
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 350791163W00000X
OHCOA-15137-NS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse