Individual
JONNELLE CARMELITA SWEETNER
Active
Individual
JONNELLE CARMELITA SWEETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01044215A
IN
207R00000X
Internal Medicine Physician
Primary
036089953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036089953
STATE LICENSE
IL
05
—
200907200
—
IN
Enumeration date
08/10/2006
Last updated
10/01/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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