IndividualActive
Jessica Bouldin, PHARMD
NPI 1881284206 · Ambulatory Care Pharmacist · Sparta, TN
Provider details
- NPI number
- 1881284206
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 44395 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
483 W Bockman Way
Sparta, TN 38583-1832
Phone: (931) 836-3230
Approximate (ZIP-level) locationGet directions
Mailing address
48 Golf Club Rd
Mcminnville, TN 37110-7838
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.