Provider Demographics
NPI:1851403554
Name:SEIGLE LESPERANCE, NANCY E (PAC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:SEIGLE LESPERANCE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:E
Other - Last Name:SEIGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:993 JOHNSON FERRY RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1620
Mailing Address - Country:US
Mailing Address - Phone:404-780-7860
Mailing Address - Fax:404-851-8673
Practice Address - Street 1:993 JOHNSON FERRY RD STE 120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1620
Practice Address - Country:US
Practice Address - Phone:404-780-7860
Practice Address - Fax:404-851-8673
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3287363AM0700X
GA003287363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical