Provider Demographics
NPI:1033402052
Name:ATKINS, JENNIFER MARIE BRASSER (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE BRASSER
Last Name:ATKINS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9331 MISSION HILLS LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2670
Mailing Address - Country:US
Mailing Address - Phone:804-502-9867
Mailing Address - Fax:
Practice Address - Street 1:2281 CARL D SILVER PKWY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4983
Practice Address - Country:US
Practice Address - Phone:540-322-4846
Practice Address - Fax:540-322-4898
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAB032704108146N00000X
VA0202205797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic