Provider Demographics
NPI:1679022313
Name:SWINSON, CHRISTY ROSHELLE (NP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ROSHELLE
Last Name:SWINSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 WESTWOOD SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1528
Mailing Address - Country:US
Mailing Address - Phone:910-676-7570
Mailing Address - Fax:
Practice Address - Street 1:204 WESTWOOD SHOPPING CTR
Practice Address - Street 2:QWIK MED
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1528
Practice Address - Country:US
Practice Address - Phone:910-676-7570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008928363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily