Provider Demographics
NPI:1356705685
Name:SUMPTER, JENELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENELLE
Middle Name:
Last Name:SUMPTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JENELLE
Other - Middle Name:
Other - Last Name:CAPEHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5400 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-8616
Mailing Address - Country:US
Mailing Address - Phone:813-907-1695
Mailing Address - Fax:
Practice Address - Street 1:5400 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8616
Practice Address - Country:US
Practice Address - Phone:813-907-1695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist