MEDICARE: MR. JACQUELYN MARIE SWIFT LNP

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	164W00000X	Licensed Practical Nurse	127592-1	NY

General Provider Information

NPI Number	:	1528344959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JACQUELYN MARIE SWIFT LNP

Provider Business Mailing Address
First Line	:	PO BOX 132
Second Line	:	158 SWIFT LANE
City	:	SOUTH NEW BERLIN
State	:	NY
Zip	:	13843-0132
Country	:	US
Telephone Number	:	607-859-2731
Fax Number	:

Provider Business Practice Location Address
First Line	:	158 SWIFT LANE
Second Line	:
City	:	SOUTH NEW BERLIN
State	:	NY
Zip	:	13843-0132
Country	:	US
Telephone Number	:	607-859-2731
Fax Number	:

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

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	10/31/2011

Similar Medicare Providers

1558407973 — NANCY C WILEY LICSW
Practice Location Address:

236 SUNSET DR
SOUTH NEW BERLIN, NY
13843-2278

Practice Phone: 774-269-5915
Practice Fax:

1447440557 — MRS. ELIZABETH A. ACANFORA RN
Practice Location Address:

561 COPES CORNERS RD
SOUTH NEW BERLIN, NY
13843-2191

Practice Phone: 607-783-2743
Practice Fax:

1659569275 — MS. TRACEY J BRADY CNA
Practice Location Address:

107 MEADOW LN
SOUTH NEW BERLIN, NY
13843-2260

Practice Phone: 607-334-4228
Practice Fax:

1457505307 — MRS. JENNIFER ANNE MCCUMISKEY MS., CCC-SLP
Practice Location Address:

483 SHEFF RD
SOUTH NEW BERLIN, NY
13843-2215

Practice Phone: 607-334-4753
Practice Fax:

1114244431 — CATHLEEN JANE PERRY M.S., CCC-SLP
Practice Location Address:

337 NELSON RD
SOUTH NEW BERLIN, NY
13843-3126

Practice Phone: 607-859-2474
Practice Fax:

1366705642 — MRS. ELIZABETH H CHURCH LPN
Practice Location Address:

130 BRANCH RD
SOUTH NEW BERLIN, NY
13843-2208

Practice Phone: 607-334-8859
Practice Fax:

Directions to “ MR. JACQUELYN MARIE SWIFT LNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.