Provider Demographics
NPI:1972301265
Name:SWAIN, NADINE
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:SWAIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7649 WRIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2464
Mailing Address - Country:US
Mailing Address - Phone:678-847-3443
Mailing Address - Fax:
Practice Address - Street 1:7649B WRIGHT CIR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2464
Practice Address - Country:US
Practice Address - Phone:678-847-3443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health