Provider Demographics
NPI:1942583844
Name:SWEET, JAIME A (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:A
Last Name:SWEET
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 BROCKWAY RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:NY
Mailing Address - Zip Code:13340-4357
Mailing Address - Country:US
Mailing Address - Phone:315-264-8383
Mailing Address - Fax:
Practice Address - Street 1:731 BROCKWAY RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:NY
Practice Address - Zip Code:13340-4357
Practice Address - Country:US
Practice Address - Phone:135-264-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336780-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily