Healthcare Provider Details

I. General information

NPI: 1982247367
Provider Name (Legal Business Name): REBECCA DIANE SWIGER DNP-FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 WILLOW DR
MANCHESTER TN
37355-2438
US

IV. Provider business mailing address

PO BOX 1553
TULLAHOMA TN
37388-1553
US

V. Phone/Fax

Practice location:
  • Phone: 314-501-4869
  • Fax: 931-450-1266
Mailing address:
  • Phone: 931-455-2674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26554
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: