| Doctor Name: | JODEANNA MARIE SWEENEY |
| NPI Number: | 1487828190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 200850081NP |
| Business Practice Address: | 870 S Front St Suite 200 Central Point, OR - 975022779 |
| Business Phone Number: | 5416643346 |
| Business Fax Number: | 5416646051 |
| Mailing Address: | Po Box 3158, PORTLAND |
| State: | OR |
| Postal Code: | 972083158 |
| Phone Number: | 5416643346 |
| Fax Number: | 5416646051 |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 08/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200850081NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |