Provider Demographics
NPI:1073260741
Name:SWANSON, JADE-EMILY NICOLE (CD(DONA))
Entity Type:Individual
Prefix:
First Name:JADE-EMILY
Middle Name:NICOLE
Last Name:SWANSON
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:JADE-EMILY
Other - Middle Name:NICOLE
Other - Last Name:WHALON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:5073 HOLLY FARMS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1929
Mailing Address - Country:US
Mailing Address - Phone:757-581-7500
Mailing Address - Fax:
Practice Address - Street 1:5073 HOLLY FARMS DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1929
Practice Address - Country:US
Practice Address - Phone:757-581-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14170374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula