Individual
JACQUELINE G SWEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHNP-BC
Contact information
Practice address
3950 N A W GRIMES BLVD STE N103, ROUND ROCK, TX 78665-3540
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 994-1933
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
621429
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP110788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158555601
—
TX
05
—
158555602
—
TX
05
—
158555603
—
TX
Enumeration date
07/29/2006
Last updated
09/13/2024
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