Provider Demographics
NPI:1679957971
Name:SELLINGER, VIRGINIA JONES (ARNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:JONES
Last Name:SELLINGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DAISY
Other - Middle Name:VIRGINIA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:6250 OLD WATER OAK RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-3861
Mailing Address - Country:US
Mailing Address - Phone:850-566-6985
Mailing Address - Fax:
Practice Address - Street 1:6250 OLD WATER OAK RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-3861
Practice Address - Country:US
Practice Address - Phone:850-566-6985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1492002363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics