Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLEEN FAN
ActiveJACKLEEN FAN is a Pharmacist healthcare provider located in EVANS, Georgia. NPI 1407337306 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · EVANS, GA
Registration Details
- NPI Number
- 1407337306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2018 (7.9422366676051 yrs)
- Last Updated
- Aug 28, 2018
- License
-
RPH030830 (GA)
Practice Information
- Address
-
4310 WASHINGTON RDEVANS, GA, 308093957Browse GA providers · Browse ZIP 30809
- Phone
- 7068604179
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in EVANS, GA
| Name | Credential | NPI |
|---|---|---|
| MR. LARRY MATHIS | — | 1639283930 |
| EPIFANIO RAMOS | PHARMACIST | 1164520276 |
| KYLE W PULLIAM | RPH | 1306986906 |
| DONNETTA L HEROLD | RPH | 1265561302 |
| MR. CHRISTOPHER PATRICK PARKER | RPH | 1457565004 |
| MS. WYLESIA RENA WHITE | PHARMD | 1679753065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.