Provider Demographics
NPI:1972766285
Name:MCSWEENEY, JASON PATRICK (NP)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:PATRICK
Last Name:MCSWEENEY
Suffix:
Gender:M
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:838 QUEENSTOWN CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-7216
Mailing Address - Country:US
Mailing Address - Phone:858-488-1034
Mailing Address - Fax:619-543-6764
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9001
Practice Address - Country:US
Practice Address - Phone:619-543-6505
Practice Address - Fax:619-543-6764
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA13298363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner