Individual
MRS. JEAN M SWANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1917 WILLIAMSBURG WAY NE, LOUISVILLE, OH 44641-8781
(330) 875-3366
(330) 875-1106
Mailing address
1917 WILLIAMSBURG WAY NE, LOUISVILLE, OH 44641-8781
(330) 875-3366
(330) 875-1106
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN142804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020833
—
OH
01
—
SWNP01472
MEDICARE PTAN
OH
Enumeration date
06/24/2005
Last updated
01/06/2012
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