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Individual

TAMELA SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1542 KINGSLEY AVE STE 136, ORANGE PARK, FL 32073-4547
(904) 458-7780
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 223-2751
(904) 253-1942

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9194805
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9194805
FL

Other

Enumeration date
01/21/2014
Last updated
08/30/2022
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