Jacqueline Marie Seely, R.N.
Individual provider Active NPI Registered Nurse · Brooktondale, NY
NPI 1972805745 · NPPES record last updated Nov 29, 2010
Key facts
- NPI
- 1972805745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 477771 (NY)
- Practice address
- 53 N Lounsberry Rd
Lot2
Brooktondale, NY 14817-9405 - Phone
- (607) 539-6503
- NPI assigned
- Nov 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 477771 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 477771 | NY | Yes |
Addresses
Primary practice location
53 N Lounsberry Rd
Lot2
Brooktondale, NY 14817-9405
Mailing address
53 N Lounsberry Rd
Lot2
Brooktondale, NY 14817-9405
Phone (607) 539-6503
Other providers in Brooktondale, NY
- Sarah Michelle
- Emma Nelson
- Kate Powers
- Prieto Medical Practice, PLLC
- Karen Lynn Raeder
- Marjorie Alice Spingler
- Katherine Thornton
- Michael Vail
All providers in Brooktondale, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.