Provider Demographics
NPI:1841950235
Name:SEAGLE, JAMI RAE (NP)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:RAE
Last Name:SEAGLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:416 COLEGATE DR BLDG 3
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-9549
Mailing Address - Country:US
Mailing Address - Phone:740-236-9047
Mailing Address - Fax:740-374-3165
Practice Address - Street 1:400 MATTHEW ST STE 209
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1656
Practice Address - Country:US
Practice Address - Phone:740-236-9088
Practice Address - Fax:740-236-9089
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2024-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030508363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily