Provider Demographics
NPI:1447491014
Name:SEAL, KATIE AGEE (NP)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:AGEE
Last Name:SEAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:211 INDIAN LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6214
Mailing Address - Country:US
Mailing Address - Phone:615-826-3100
Mailing Address - Fax:615-447-1060
Practice Address - Street 1:211 INDIAN LAKE BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6214
Practice Address - Country:US
Practice Address - Phone:615-826-3100
Practice Address - Fax:615-447-1060
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12669363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN12669OtherNP STATE LICENSE
TNMA1605851OtherDEA LICENSE