Individual
MRS. REBECCA E SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(601) 554-7451
(601) 554-7488
Mailing address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(601) 554-7451
(601) 554-7488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R142830
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125334
—
MS
Enumeration date
07/06/2006
Last updated
12/30/2009
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