Healthcare Provider Details

I. General information

NPI: 1215723507
Provider Name (Legal Business Name): JADIE JOAN SWIETANSKI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 SKYWAY
PARADISE CA
95969-5624
US

IV. Provider business mailing address

5125 SKYWAY
PARADISE CA
95969-5624
US

V. Phone/Fax

Practice location:
  • Phone: 530-872-2000
  • Fax: 530-332-1049
Mailing address:
  • Phone: 530-872-2000
  • Fax: 530-332-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: