Individual
JO LANE SWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-8660
Mailing address
250 N SHADELAND AVE STE 114, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28098768A
IN
363L00000X
Nurse Practitioner
28098768A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28098768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200843630
—
IN
Enumeration date
12/18/2006
Last updated
08/15/2022
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