Provider Demographics
NPI:1780109850
Name:EDWARDS, JASMINE TURNER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:TURNER
Last Name:EDWARDS
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:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:TIPPO
Mailing Address - State:MS
Mailing Address - Zip Code:38962-0202
Mailing Address - Country:US
Mailing Address - Phone:662-832-0278
Mailing Address - Fax:
Practice Address - Street 1:2202 US 82 W FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930
Practice Address - Country:US
Practice Address - Phone:662-453-3967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-14932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist