Provider Demographics
NPI:1609352772
Name:HO, JESSICA BRADY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BRADY
Last Name:HO
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 1:8028 HIGHWAY 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8028 HIGHWAY 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:TN
Practice Address - Zip Code:37221-4212
Practice Address - Country:US
Practice Address - Phone:615-673-2756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist