MEDICARE: JESSE DANIEL SWAFFORD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	376J00000X	Homemaker
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1598610164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE DANIEL SWAFFORD

Provider Business Mailing Address
First Line	:	7255 PEPPERTON CT
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-1235
Country	:	US
Telephone Number	:	937-570-1513
Fax Number	:

Provider Business Practice Location Address
First Line	:	7255 PEPPERTON CT
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-1235
Country	:	US
Telephone Number	:	937-570-1513
Fax Number	:

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

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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Directions to “ JESSE DANIEL SWAFFORD ” Practice Location

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