| Doctor Name: | SHIRLEY J SWENSON |
| NPI Number: | 1053354035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F33435 |
| Business Practice Address: | 15 S Main St Suite 160 Jamestown, NY - 147016636 |
| Business Phone Number: | 7164847107 |
| Business Fax Number: | 7166642500 |
| Mailing Address: | 15 S Main St, Suite 300 JAMESTOWN |
| State: | NY |
| Postal Code: | 147016636 |
| Phone Number: | 7164847107 |
| Fax Number: | 7166642500 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 02/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F33435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |