Provider Demographics
NPI:1952501264
Name:KINMAN, JENNIFER F (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:F
Last Name:KINMAN
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 1:1543 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-7520
Mailing Address - Country:US
Mailing Address - Phone:731-424-0872
Mailing Address - Fax:731-424-6777
Practice Address - Street 1:1543 S HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-7520
Practice Address - Country:US
Practice Address - Phone:731-424-0872
Practice Address - Fax:731-424-6777
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNC9638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNC9638OtherSTATE OF TN, DEPT. OF PHA