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NPI Code Detail

MEDICARE: JENNIFER L. SWANK N.P.

MEDICARE: JENNIFER L. SWANK N.P.
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
1363LF0000XFamily Nurse Practitioner71001603AIN
2363L00000XNurse Practitioner71001603AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DE8663OTHERRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3050611856OTHERINALLERGY ASSOC TAX ID
4000000560545OTHERINANTHEM PIN

General Provider Information

NPI Number : 1497736425
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L. SWANK N.P.
Provider Business Mailing Address
First Line : PO BOX 306504
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6504
Country : US
Telephone Number : 931-253-1110
Fax Number :
Provider Business Practice Location Address
First Line : 2502 25TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3728
Country : US
Telephone Number : 812-372-8883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 11/20/2023

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