Individual
LISA LYNN SWINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1420 S PILGRIM BLVD, YORKTOWN, IN 47396-9250
(765) 759-4068
(765) 759-4075
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002845
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200928050
—
IN
01
—
P00996480
RR MEDICARE
IN
Enumeration date
01/06/2009
Last updated
02/26/2021
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