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NPI Code Detail

MEDICARE: JILL SWINNING RN, ACNS-BC

MEDICARE: JILL SWINNING RN, ACNS-BC
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
1364SA2200XAdult Health Clinical Nurse Specialist4704412510MI

General Provider Information

NPI Number : 1902161128
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL SWINNING RN, ACNS-BC
Provider Business Mailing Address
First Line : 1105 SIXTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 SIXTH ST STE 200
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2369
Country : US
Telephone Number : 231-935-5800
Fax Number : 231-935-5799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2012
Last Update Date : 03/10/2026

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Directions to “ JILL SWINNING RN, ACNS-BC” Practice Location

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