Provider Demographics
NPI:1609680552
Name:MARKHAM, SEANA LOUISE (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SEANA
Middle Name:LOUISE
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
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Mailing Address - Street 1:120 BRENTWOOD COMMONS WAY STE 510
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2028
Mailing Address - Country:US
Mailing Address - Phone:817-919-3557
Mailing Address - Fax:817-754-1588
Practice Address - Street 1:351 VALLEY HEALTH WAY
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6480
Practice Address - Country:US
Practice Address - Phone:540-536-4334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024192487363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty