Individual provider Active NPI

Jacob Andrew Sejan, RN, BSN

  • Registered Nurse
  • Niceville, FL
National Provider Identifier
1003771049
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9601279 Issued in FL
Practice address
553 Golf Course Dr
Niceville, FL 32578-1703
Phone
(843) 503-0327
Fax
(843) 503-0327
NPI assigned
Dec 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9601279 FL Primary

Addresses

Primary practice location

553 Golf Course Dr
Niceville, FL 32578-1703

Mailing address

553 Golf Course Dr
Niceville, FL 32578-1703
Phone (843) 503-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9601279FLMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1003771049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 GOLF COURSE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781703",
            "telephone_number": "843-503-0327",
            "fax_number": "843-503-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 GOLF COURSE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781703",
            "telephone_number": "843-503-0327",
            "fax_number": "843-503-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEJAN",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9601279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.