Provider Demographics
NPI:1922110980
Name:SWINT, GENESSA MARIE (CNS)
Entity Type:Individual
Prefix:
First Name:GENESSA
Middle Name:MARIE
Last Name:SWINT
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:GENESSA
Other - Middle Name:MARIE
Other - Last Name:CURRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6957 W PLANO PKWY STE 2700
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-1626
Mailing Address - Country:US
Mailing Address - Phone:972-792-2799
Mailing Address - Fax:972-498-1153
Practice Address - Street 1:6957 W PLANO PKWY STE 2700
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-1626
Practice Address - Country:US
Practice Address - Phone:972-792-2799
Practice Address - Fax:972-498-1153
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710168364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215479103Medicaid
TX215479101Medicaid
TX215479102Medicaid
TXTXB107923Medicare PIN
TX215479101Medicaid
TX215479102Medicaid
TXQ74378Medicare UPIN
TX215479103Medicaid