MS. Kempolly Datisha Swaby
MS. Kempolly Datisha Swaby is a Nurse Practitioner in Orange, New Jersey. Qualified in 2021, 5 years ago. Practices with Newark Community Health Centers Inc, a 40-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 5
- Licensed in
- NJ
- In the registry since
- 2021
Practice location Address checks out
531 Lincoln AveOrange, NJ 07050-2122
Phone: (973) 941-6617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 26NJ01183500 (NJ) |
|---|
Record details
| NPI number | 1750056495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 13, 2021 |
| Last updated in NPPES | August 17, 2021 |
| Certification date | August 17, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Newark Community Health Centers Inc — 40 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Orange
-
Miss. Tricia S Gravesande, NP
133 Elm St, Orange, NJ 07050-4001 · (862) 224-0940