Provider Demographics
NPI:1124677331
Name:SEEGOTT, JENNIFER LYNN (DNP, APRN-IP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:SEEGOTT
Suffix:
Gender:F
Credentials:DNP, APRN-IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2907
Mailing Address - Country:US
Mailing Address - Phone:772-255-6565
Mailing Address - Fax:772-273-2096
Practice Address - Street 1:1165 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2907
Practice Address - Country:US
Practice Address - Phone:772-255-6565
Practice Address - Fax:772-273-2096
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003625363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health