Provider Demographics
NPI:1780704866
Name:SWARTZ, VIRGINIA LANE (APRN-BC,PNP)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:LANE
Last Name:SWARTZ
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Gender:F
Credentials:APRN-BC,PNP
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Mailing Address - Street 1:127 N OAK AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2435
Mailing Address - Country:US
Mailing Address - Phone:931-783-5857
Mailing Address - Fax:931-526-6760
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4294
Practice Address - Country:US
Practice Address - Phone:931-783-2770
Practice Address - Fax:931-525-1176
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2010-08-26
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Provider Licenses
StateLicense IDTaxonomies
TN11902363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics