Provider Demographics
NPI:1588868681
Name:SWEARINGEN, ALISSA (MD)
Entity type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:SWEARINGEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE STE 270
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2534
Mailing Address - Country:US
Mailing Address - Phone:615-769-2799
Mailing Address - Fax:615-769-2799
Practice Address - Street 1:3443 DICKERSON PIKE STE 270
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2534
Practice Address - Country:US
Practice Address - Phone:615-769-2799
Practice Address - Fax:615-769-2799
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ72074208600000X
TN46385208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6038627OtherBCBS TN
TN1521475Medicaid
TN1521475Medicaid