Healthcare Provider Details

I. General information

NPI: 1942583844
Provider Name (Legal Business Name): JAIME A. SWEET FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 11/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 BROCKWAY RD
FRANKFORT NY
13340-4357
US

IV. Provider business mailing address

731 BROCKWAY RD
FRANKFORT NY
13340-4357
US

V. Phone/Fax

Practice location:
  • Phone: 135-264-8383
  • Fax:
Mailing address:
  • Phone: 315-264-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336780-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: