| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JORDAN SWANN | 1164099578 | 2023-05-02 |
Jordan Swann is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164099578. Registration indicates Jordan Swann is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Jordan Swann |
| Practice Office Address | 4000 KRESGE WAY LOUISVILLE, KY US |
| Practice Office Telephone | 5025724783 |
| Mailing Address | 203 FAIRLAWN RD LOUISVILLE, KY 402072907 US |
| Business Telephone | 5025724783 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3109 Trade St | West Columbia, SC 291697688 | 5025724783 |
| Code | Practice | License No State |
|---|---|---|
| 367500000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | 3017850
KY |