Individual
CLINTON JAY SWINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
221 W COLORADO BLVD STE 640, DALLAS, TX 75208-2345
(214) 946-4535
(214) 943-8213
Mailing address
2674 DORRINGTON DR, DALLAS, TX 75228-5969
(214) 320-1789
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
607104
TX
363LF0000X
Family Nurse Practitioner
308506
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168792301
—
TX
01
—
8N7698
BCBS
TX
Enumeration date
03/01/2007
Last updated
06/30/2023
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