Individual
JACQUELINE FAITH SWINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
6421 MCCART AVE, FORT WORTH, TX 76133-4702
(817) 263-7500
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1088330
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1088330
TX
Other
Enumeration date
08/10/2022
Last updated
12/02/2022
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