Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA BROOKE BOULDIN, PHARMD
ActiveAmbulatory Care Pharmacist · SPARTA, TN
Registration Details
- NPI Number
- 1881284206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2021 (5.2519074573567 yrs)
- Last Updated
- Jan 20, 2021
- License
-
44395 (TN)
Practice Information
- Address
-
483 W BOCKMAN WAYSPARTA, TN, 385831832Browse TN providers · Browse ZIP 38583
- Phone
- 9318363230
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Other Ambulatory Care Pharmacist Providers in SPARTA, TN
| Name | Credential | NPI |
|---|---|---|
| DR. BRANTLEY MICHAEL UNDERWOOD | PHARMD, CSP, BCACP | 1083840425 |
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.