JESSICA BROOKE BOULDIN PHARMD NPI 1881284206

NPI Information

NPI: 1881284206
Provider Name: JESSICA BROOKE BOULDIN, PHARMD
Classification: Pharmacist - 1835P2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
483 W BOCKMAN WAY
SPARTA, TN
ZIP 38583
Phone: (931) 836-3230
Get Directions

Jessica Brooke Bouldin, PHARMD is an ambulatory care pharmacist in Sparta, TN. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. Jessica Brooke Bouldin, PHARMD NPI is 1881284206. 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:

483 W BOCKMAN WAY
SPARTA, TN
ZIP 38583-832
Phone: (931) 836-3230

The enumeration date for this NPI number is 1/20/2021 and was last updated on 1/20/2021.

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	1835P2201X	Pharmacist	Ambulatory Care	44395	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	Other Provider Identifier Issuer
1	44395	OTHER	TENNESSEE	STATE OF 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: 5/5/2024

NPI Synchronization or Removal

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