Jaclyn Elizabeth Swope
Individual provider Active NPI Homemaker · Rogers, AR
NPI 1013640978 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1013640978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 9909 Cobble LN
Rogers, AR 72756-9424 - Phone
- (479) 616-3067
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | AR | Yes |
Addresses
Primary practice location
9909 Cobble LN
Rogers, AR 72756-9424
Mailing address
9909 Cobble LN
Rogers, AR 72756-9424
Phone (479) 616-3067
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.