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General NPI Number Information
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NPI Number | 1417379611
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Entity Type | Individual
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Provider Name | JILL FRANCES SWANSON CNP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1261 N TELEGRAPH RD
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City | MONROE
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State | MI
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Zip | 48162-3368
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Country | US
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Telephone | 734-265-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 N TELEGRAPH RD
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City | MONROE
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State | MI
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Zip | 48162-3368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.15307
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 209.025729
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704357985
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71012906A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | CAO-15307-NP
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License Number State | OH
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