Provider Demographics
NPI:1205355138
Name:SINCLAIR, JESSICA MARI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MARI
Last Name:SINCLAIR
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 1:7308 E INDEPENDENCE BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9440
Mailing Address - Country:US
Mailing Address - Phone:704-537-0909
Mailing Address - Fax:
Practice Address - Street 1:7308 E INDEPENDENCE BLVD STE I
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-9440
Practice Address - Country:US
Practice Address - Phone:704-537-0909
Practice Address - Fax:704-537-0947
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist