| Doctor Name: | MRS. JESSICA RAWSON SWIATOCHA |
| NPI Number: | 1063419588 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F334575-1 |
| Business Practice Address: | 240 Meeting House Ln Southampton, NY - 119685009 |
| Business Phone Number: | 6312832070 |
| Business Fax Number: | |
| Mailing Address: | 35 Beechwood Dr, SOUTHAMPTON |
| State: | NY |
| Postal Code: | 119682206 |
| Phone Number: | 6317268620 |
| Fax Number: | 6317268680 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F334575-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |