Individual
JACQUELINE SWOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
435 E STATESVILLE AVE, MOORESVILLE, NC 28115-2598
(704) 663-5056
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
180395
NC
363LF0000X
Family Nurse Practitioner
Primary
5012086
NC
Other
Enumeration date
07/25/2019
Last updated
08/05/2019
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