Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 209013930 | IL |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 5012633 | NC |
NPI | 1013368604 |
---|---|
Provider Name | Dr. Janny Sweetow |
First Address | Durham, NC 27705-4699 |
Second Address | Durham, NC 27705-4699 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2016 |
Last Update Date | 13/06/2020 |