MEDICARE: DR. JENNIFER SWISHER REAL M.D.

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	208M00000X	Hospitalist Physician	036166161	IL
2	207R00000X	Internal Medicine Physician	A91599	CA
3	208M00000X	Hospitalist Physician	0101241163	VA

General Provider Information

NPI Number	:	1598779191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER SWISHER REAL M.D.

Provider Business Mailing Address
First Line	:	850 KEMPSVILLE RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3920
Country	:	US
Telephone Number	:	757-388-3198
Fax Number	:	757-388-4242

Provider Business Practice Location Address
First Line	:	850 KEMPSVILLE RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23502-3920
Country	:	US
Telephone Number	:	757-388-3198
Fax Number	:	757-388-4242

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	12/24/2025

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