Individual
JESSICA SWINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-2300
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R44317
ND
363LG0600X
Gerontology Nurse Practitioner
Primary
R44317
ND
Other
Enumeration date
06/10/2022
Last updated
10/07/2022
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