Individual
MRS. JACQUELINE LEE SWALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, NP-C
Contact information
Practice address
319 BROAD ST, BAXTER, TN 38544-5117
(931) 858-2116
(931) 858-2117
Mailing address
1780 WINDLE COMMUNITY RD, COOKEVILLE, TN 38506-7910
(931) 319-9335
(931) 858-2117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16020
TN
Other
Enumeration date
08/09/2011
Last updated
07/18/2019
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