Individual provider Active NPI

Jessica Ivette Warthen, PHARM.D.

  • Psychiatric Pharmacist
  • Jacksonville, FL
National Provider Identifier
1962584433
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
PS37097 Issued in FL
Practice address
1833 Boluevard
Department of Veterans Affairs; Mental Health Clinic
Jacksonville, FL 32206
Phone
(904) 232-2751
Fax
(904) 232-1570
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X PS37097 FL Primary

Addresses

Primary practice location

1833 Boluevard
Department of Veterans Affairs; Mental Health Clinic
Jacksonville, FL 32206

Mailing address

3028 W Ginger CT
Jacksonville, FL 32259-4560
Phone (904) 232-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS37097FLMDPsychiatric Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1962584433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 W GINGER CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594560",
            "telephone_number": "904-232-2751",
            "fax_number": "904-232-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 BOLUEVARD",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS; MENTAL HEALTH CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32206",
            "telephone_number": "904-232-2751",
            "fax_number": "904-232-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTHEN",
        "first_name": "JESSICA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "FL",
            "license": "PS37097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.