Provider Demographics
NPI:1598454027
Name:SWORD, JERRICA
Entity Type:Individual
Prefix:
First Name:JERRICA
Middle Name:
Last Name:SWORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 RYAN DR
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9300
Mailing Address - Country:US
Mailing Address - Phone:740-253-4606
Mailing Address - Fax:
Practice Address - Street 1:158 RYAN DR
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9300
Practice Address - Country:US
Practice Address - Phone:740-253-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker