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Individual

JENNIFER SWAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
500 ARCADE AVE STE 400, ELKHART, IN 46514-2487
(574) 522-2284
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012871A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300069318
IN
Enumeration date
06/30/2022
Last updated
03/19/2024
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