Provider Demographics
NPI:1841968260
Name:SWEARINGEN, JACOB H (DNP, CRNA, BSN, RN)
Entity type:Individual
Prefix:MR
First Name:JACOB
Middle Name:H
Last Name:SWEARINGEN
Suffix:
Gender:M
Credentials:DNP, CRNA, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32270 SIBLEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5537
Mailing Address - Country:US
Mailing Address - Phone:251-463-7969
Mailing Address - Fax:
Practice Address - Street 1:32270 SIBLEY CREEK RD
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36527-5537
Practice Address - Country:US
Practice Address - Phone:251-463-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL1-156197367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program