Healthcare Provider Details

I. General information

NPI: 1386259695
Provider Name (Legal Business Name): ERIN SWINK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN JENKINS

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 HEALTH CENTER DR
SAN DIEGO CA
92123-2773
US

IV. Provider business mailing address

3075 HEALTH CENTER DR
SAN DIEGO CA
92123-2773
US

V. Phone/Fax

Practice location:
  • Phone: 858-939-5864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95014821
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number813585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: