Provider Demographics
NPI:1275990806
Name:SWINK, JACLYN (CRNP)
Entity Type:Individual
Prefix:
First Name:JACLYN
Middle Name:
Last Name:SWINK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JACLYN
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1700 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3040
Mailing Address - Country:US
Mailing Address - Phone:610-239-7100
Mailing Address - Fax:
Practice Address - Street 1:1700 PINE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3040
Practice Address - Country:US
Practice Address - Phone:610-239-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015432363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health