Healthcare Provider Details

I. General information

NPI: 1295617900
Provider Name (Legal Business Name): JILL BROWN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6361 HIGHWAY 41A
PLEASANT VIEW TN
37146-8179
US

IV. Provider business mailing address

1118 JONATHAN LN
SPRINGFIELD TN
37172-2044
US

V. Phone/Fax

Practice location:
  • Phone: 615-746-8432
  • Fax: 615-746-3784
Mailing address:
  • Phone: 615-406-7451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11726
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: