Individual
MRS. JILL RENEE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-4004
(913) 588-3316
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-3316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-87709-012
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
55659
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376716282
—
MO
05
—
200564310A
—
KS
01
—
P00621531
RR MEDICARE
KS
Enumeration date
04/11/2008
Last updated
11/17/2023
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