Individual
MRS. KAWANDA QUIANA SWAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(510) 289-0311
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95003424
CA
363LF0000X
Family Nurse Practitioner
Primary
318782
GA
363LP2300X
Primary Care Nurse Practitioner
850352
CA
Other
Enumeration date
09/24/2015
Last updated
12/06/2024
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