Healthcare Provider Details

I. General information

NPI: 1306139084
Provider Name (Legal Business Name): JODI LYNN SWIHART NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12991 EMERSON RD
APPLE CREEK OH
44606-9302
US

IV. Provider business mailing address

12991 EMERSON RD
APPLE CREEK OH
44606-9302
US

V. Phone/Fax

Practice location:
  • Phone: 330-857-0177
  • Fax:
Mailing address:
  • Phone: 330-857-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12252-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: