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NPI Code Detail

MEDICARE: JESSICA JERNIGAN PHARMD

MEDICARE: JESSICA JERNIGAN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21432CO

General Provider Information

NPI Number : 1629523717
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JERNIGAN PHARMD
Provider Business Mailing Address
First Line : 8355 N RAMPART RANGE RD
Second Line :
City : LITTLETON
State : CO
Zip : 80125-9322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8355 N RAMPART RANGE RD
Second Line :
City : LITTLETON
State : CO
Zip : 80125-9322
Country : US
Telephone Number : 303-242-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2016
Last Update Date : 08/18/2016

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Directions to “ JESSICA JERNIGAN PHARMD” Practice Location

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