Provider Demographics
NPI:1003942541
Name:PURSER, JENNIFER MEYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MEYN
Last Name:PURSER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 KENNA RD
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:MS
Mailing Address - Zip Code:39666-9141
Mailing Address - Country:US
Mailing Address - Phone:601-833-9063
Mailing Address - Fax:601-835-2415
Practice Address - Street 1:208 W PRESLEY BLVD
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-5524
Practice Address - Country:US
Practice Address - Phone:601-684-3401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-09861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist