Swann, Jacynthia

Swann, Jacynthia is an sole proprietor health care provider with primary practice located at 405 Morson St Ste A , Raleigh NC 27601-1559. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is her primary health care specialty. Swann, Jacynthia can be contacted via phone (919) 607-2044.

Contact Information

Primary practice address
405 Morson St Ste A Raleigh NC 27601-1559
Phone: (919) 607-2044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X North Carolina
Other Service Providers / Community Health Worker 172V00000X North Carolina

Profile Details

NPI number 1447529466
LBN Legal business name Swann, Jacynthia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2011
Last updated Dec 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447529466 NPPES
North Carolina MEDICAID 900780474

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