Provider Demographics
NPI:1922087873
Name:DARNELL, JENNIFER (RPH)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:DARNELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6067 VALE MEADE CIR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3954
Mailing Address - Country:US
Mailing Address - Phone:205-966-9464
Mailing Address - Fax:
Practice Address - Street 1:6067 VALE MEADE CIR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-3954
Practice Address - Country:US
Practice Address - Phone:205-966-9464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALA1100171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALA110017OtherPHARMACIST LISCENSE