Jessica Nellums, PHARMD
Individual provider Active NPI Pharmacist · Abbeville, AL
NPI 1871968230 · NPPES record last updated Dec 9, 2015
Key facts
- NPI
- 1871968230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18851 (AL)
- Practice address
- 514 Kirkland St
Abbeville, AL 36310-2740 - Phone
- (334) 585-2282
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18851 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18851 | AL | Yes |
Addresses
Primary practice location
514 Kirkland St
Abbeville, AL 36310-2740
Mailing address
514 Kirkland St
Abbeville, AL 36310-2740
Phone (334) 585-2282
Other providers in Abbeville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.