Healthcare Provider Details

I. General information

NPI: 1477362085
Provider Name (Legal Business Name): JESSICA SWEARER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 OLD HARRODS CREEK RD STE 400
LOUISVILLE KY
40223-2553
US

IV. Provider business mailing address

813 DANI ANN WAY
JEFFERSONVILLE IN
47130-5434
US

V. Phone/Fax

Practice location:
  • Phone: 502-802-7615
  • Fax: 502-628-7459
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4033813
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: