IndividualActive
Jackleen Fan
NPI 1407337306 · Pharmacist · Evans, GA
Jackleen Fan is a Pharmacist provider in Evans, GA (NPI 1407337306).
Provider details
- NPI number
- 1407337306
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RPH030830 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4310 Washington Rd
Evans, GA 30809-3957
Phone: (706) 860-4179
Street-level locationGet directions
Mailing address
372 Collins Glen Ct
Lawrenceville, GA 30043-6848
Registry dates
- Enumerated
- 2018-08-28
- Last updated
- 2018-08-28
Frequently asked questions
- What is Jackleen Fan's NPI number?
- Jackleen Fan's National Provider Identifier (NPI) is 1407337306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackleen Fan's specialty?
- Jackleen Fan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jackleen Fan located?
- Jackleen Fan's practice location on file with NPPES is 4310 Washington Rd, Evans, GA 30809-3957.
- What is Jackleen Fan's phone number?
- The practice phone number listed in the NPPES registry for Jackleen Fan is (706) 860-4179.
- Is Jackleen Fan's NPI active?
- Yes — Jackleen Fan's NPI (1407337306) is active in the NPPES registry as of the last update on 2018-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.