Provider Demographics
NPI:1053709774
Name:SESZKO, JAMIE LEE (FNP-BC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:SESZKO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:54967 MAPLE AVE
Mailing Address - City:LANSING
Mailing Address - State:OH
Mailing Address - Zip Code:43934-0084
Mailing Address - Country:US
Mailing Address - Phone:740-310-7586
Mailing Address - Fax:
Practice Address - Street 1:106 PLAZA DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-6700
Practice Address - Country:US
Practice Address - Phone:740-526-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA16721-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily