MEDICARE: MRS. ROXANNE SWAFFORD FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP125484	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP125484	OTHER	TX	TEXAS STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1134539034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROXANNE SWAFFORD FNP-C

Provider Business Mailing Address
First Line	:	1790 N STONEBRIDGE DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7437
Country	:	US
Telephone Number	:	972-390-9002
Fax Number	:	214-491-3777

Provider Business Practice Location Address
First Line	:	1402 MEDICAL DR STE 100
Second Line	:
City	:	SULPHUR SPRINGS
State	:	TX
Zip	:	75482-2199
Country	:	US
Telephone Number	:	903-689-7272
Fax Number	:	903-689-7270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	12/08/2025

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