Provider Demographics
NPI:1336252337
Name:SEILER, JAN MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JAN
Middle Name:MARIE
Last Name:SEILER
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:95 COLLIER RD NW
Mailing Address - Street 2:STE 4075
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1751
Mailing Address - Country:US
Mailing Address - Phone:404-355-3200
Mailing Address - Fax:404-350-9316
Practice Address - Street 1:1265 HIGHWAY 54 W
Practice Address - Street 2:SUITE 409
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4548
Practice Address - Country:US
Practice Address - Phone:678-817-6550
Practice Address - Fax:678-817-6551
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2015-07-28
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Provider Licenses
StateLicense IDTaxonomies
GARN143913363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I500107Medicare PIN