DR. BIANCA JUSELLE SWEETEN MD NPI 1942300892

NPI Information

NPI: 1942300892
Provider Name: DR. BIANCA JUSELLE SWEETEN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 44D0704053

Address:
1407 UNION AVE
SUITE 305
MEMPHIS, TN
ZIP 38104
Phone: (901) 844-1459
Get Directions

DR. Bianca Juselle Sweeten, MD is a pediatrics in Memphis, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Bianca Juselle Sweeten, MD NPI is 1942300892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1407 UNION AVE
SUITE 305
MEMPHIS, TN
ZIP 38104-627
Phone: (901) 844-1459
Fax: (901) 274-3475

The CLIA number assigned to this NPI record is 44D0704053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		34353	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H26780	MEDICARE UPIN
2	1523554	MEDICAID	TENNESSEE
3	3857960	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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