MEDICARE: JUNE SWAIN NP-C

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	277.004471	IL
2	363L00000X	Nurse Practitioner	A157148	IA

General Provider Information

NPI Number	:	1912543257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNE SWAIN NP-C

Provider Business Mailing Address
First Line	:	PO BOX 746715
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6715
Country	:	US
Telephone Number	:	309-517-7561
Fax Number	:	309-807-4233

Provider Business Practice Location Address
First Line	:	1776 W LAKES PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8377
Country	:	US
Telephone Number	:	309-207-2663
Fax Number	:

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

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	09/25/2025

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Directions to “ JUNE SWAIN NP-C” Practice Location

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