NPI | 1265827729 |
---|---|
Former Name | JESSICA E SWINFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.012661) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 209.012661) |
363L00000X Nurse Practitioner (Licence: IL 209012661) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.012661) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2019-12-23 |