Provider Demographics
NPI:1013242288
Name:SWEAT, MARCIE JOYCE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:JOYCE
Last Name:SWEAT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:MARCIE
Other - Middle Name:JOYCE
Other - Last Name:DAGG PLEMENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:575 HILL COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6024
Mailing Address - Country:US
Mailing Address - Phone:830-257-7762
Mailing Address - Fax:830-258-7098
Practice Address - Street 1:823 JUNCTION HWY
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5056
Practice Address - Country:US
Practice Address - Phone:830-258-7900
Practice Address - Fax:830-258-7820
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX603990363L00000X, 363LF0000X
TXAP118247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX283454103Medicaid