Provider Demographics
NPI:1912597162
Name:SWIER, JENNIFER PAIGE (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:PAIGE
Last Name:SWIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 SOCKWELL LN
Mailing Address - Street 2:
Mailing Address - City:LEIGHTON
Mailing Address - State:AL
Mailing Address - Zip Code:35646-4217
Mailing Address - Country:US
Mailing Address - Phone:256-702-7399
Mailing Address - Fax:
Practice Address - Street 1:175 SOCKWELL LN
Practice Address - Street 2:
Practice Address - City:LEIGHTON
Practice Address - State:AL
Practice Address - Zip Code:35646-4217
Practice Address - Country:US
Practice Address - Phone:256-702-7399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117236163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse