MEDICARE: MR. JOHN MICHAEL MCSWEEN M.S.N., NP-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	364SE0003X	Emergency Clinical Nurse Specialist	ARNP1372632	FL

General Provider Information

NPI Number	:	1750370961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN MICHAEL MCSWEEN M.S.N., NP-C

Provider Business Mailing Address
First Line	:	2303 EDWARDS RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-6144
Country	:	US
Telephone Number	:	772-461-8756
Fax Number	:	772-461-0041

Provider Business Practice Location Address
First Line	:	2303 EDWARDS RD
Second Line	:	2339 SOUTH U.S. 1
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-6144
Country	:	US
Telephone Number	:	772-461-8756
Fax Number	:	772-461-0041

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	03/21/2013

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