Individual
JENNIFER L. SWANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2502 25TH ST, COLUMBUS, IN 47201-3728
(812) 372-8883
Mailing address
PO BOX 306504, NASHVILLE, TN 37230-6504
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001603A
IN
363LF0000X
Family Nurse Practitioner
71001603A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000560545
ANTHEM PIN
IN
01
—
050611856
ALLERGY ASSOC TAX ID
IN
05
—
200484780
—
IN
01
—
DE8663
RAILROAD MEDICARE GROUP
—
Enumeration date
11/08/2005
Last updated
11/20/2023
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