Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0000007558 | TN |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN11012892 | FL |
NPI | 1023144664 |
---|---|
Provider Name | Elizabeth Ann Swope |
First Address | Springfield, TN 37172-2828 |
Second Address | Philadelphia, PA 19114-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 27/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S90411 | (02) | TN |