Provider Demographics
NPI:1134972599
Name:ATKINSON, JAYNE AMBRIELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:AMBRIELLE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6350 FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2375
Mailing Address - Country:US
Mailing Address - Phone:410-744-5959
Mailing Address - Fax:410-744-4810
Practice Address - Street 1:6350 FREDERICK RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2375
Practice Address - Country:US
Practice Address - Phone:410-744-5959
Practice Address - Fax:410-744-4180
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD293421835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist