Provider Demographics
NPI:1497328249
Name:SWAUGER, JAMI CATHERINE (RN, CCM)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:CATHERINE
Last Name:SWAUGER
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24305 HELENE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2578
Mailing Address - Country:US
Mailing Address - Phone:734-626-9079
Mailing Address - Fax:
Practice Address - Street 1:24305 HELENE DR
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48183-2578
Practice Address - Country:US
Practice Address - Phone:734-626-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704297074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse