MEDICARE: MRS. JESSICA WARNER SWINDELL FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN183694	GA

General Provider Information

NPI Number	:	1386167195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA WARNER SWINDELL FNP

Provider Business Mailing Address
First Line	:	119 CHIMNEY RD
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5541
Country	:	US
Telephone Number	:	912-295-5560
Fax Number	:	912-295-5562

Provider Business Practice Location Address
First Line	:	119 CHIMNEY RD
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5541
Country	:	US
Telephone Number	:	912-295-5560
Fax Number	:	912-295-5560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2017
Last Update Date	:	12/09/2025

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