Individual
MS. JESSICA HELEN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054
(480) 342-2697
(480) 342-3467
Mailing address
5777 E. MAYO BLVD, PHOENIX, AZ 85054
(480) 342-2697
(480) 342-3467
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN123822
AZ
363L00000X
Nurse Practitioner
Primary
AP4889
AZ
363LA2100X
Acute Care Nurse Practitioner
AP4889
AZ
363LA2100X
Acute Care Nurse Practitioner
RN123822
AZ
Other
Enumeration date
01/11/2013
Last updated
09/08/2020
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