Provider Demographics
NPI:1164939070
Name:SWIFT, BRANDI J (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:J
Last Name:SWIFT
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:J
Other - Last Name:FEATHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 CALIFORNIA ST
Mailing Address - Street 2:PO BOX 577
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-0577
Mailing Address - Country:US
Mailing Address - Phone:618-519-9200
Mailing Address - Fax:618-985-4635
Practice Address - Street 1:7 S HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MURPHYSBORO
Practice Address - State:IL
Practice Address - Zip Code:62966
Practice Address - Country:US
Practice Address - Phone:618-519-9200
Practice Address - Fax:618-684-2478
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.017023363LF0000X
IL20901723363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner