Provider Demographics
NPI:1548498652
Name:SWARR, JESSICA LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LYNN
Last Name:SWARR
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4221 MALSBARY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5521
Mailing Address - Country:US
Mailing Address - Phone:513-241-1811
Mailing Address - Fax:513-241-2112
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:ADVANCE PRACTICE ENT
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1873
Practice Address - Country:US
Practice Address - Phone:937-641-4647
Practice Address - Fax:937-641-4617
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2022-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054325363AM0700X
OH50.004775RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical