Provider Demographics
NPI:1639463565
Name:ZIELINSKI, JESSICA A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:A
Last Name:ZIELINSKI
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 1:1925 MARKETPLACE DR SE
Mailing Address - Street 2:T-2015
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-8511
Mailing Address - Country:US
Mailing Address - Phone:616-698-1186
Mailing Address - Fax:616-698-1186
Practice Address - Street 1:1925 MARKETPLACE DR SE
Practice Address - Street 2:T-2015
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-8511
Practice Address - Country:US
Practice Address - Phone:616-698-1186
Practice Address - Fax:616-698-1186
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302037182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist