Swilley, Jessica Veann

Swilley, Jessica Veann is an individual health care provider with primary practice located at 1270 Prince Avenue Suite 308, Athens GA 30306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Swilley, Jessica Veann can be contacted via phone (706) 552-1600.

Contact Information

Primary practice address
1270 Prince Avenue Suite 308 Athens GA 30306
Phone: (706) 552-1600
Fax: (706) 552-5370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R7170870 Georgia

Profile Details

NPI number 1861687063
LBN Legal business name Swilley, Jessica Veann
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Feb 14th, 2012 - about 12 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 1861687063 NPPES
Georgia Other 01296825 AMERIGROUP
Georgia Other 25902 AMERIGROUP
Georgia Other 532560 AMERIGROUP
Georgia MEDICAID 613458411A AMERIGROUP

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