NPI | 1174909618 |
---|---|
Former Name | JESSICA LYNN SWAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992275-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0101875-NP) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2019-03-31 |